Customer Satisfaction Questionnaire

Email address
Company Name
Contact Name
Phone Number
P.O. or Invoice #
Product Name
Please rank the following areas from 1 to 10 (1 Poor—10 Excellent)
How did you place your order? Phone Fax or Email.
The ordering process was fast, simple, and professional.
Your order was delivered as promised.
The packaging of your order met requirements.
Your order arrived with all required documents, labeling etc.
Product specifications met requirements.
How would you rank the value of our product and service?
How likely are you to recomend our service?

If you ranked any category lower than 7 please explain.

Rate overall experience.

How can we improve our service?

0821001 Rev 005