JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Customer Satisfaction Survey
We want to hear your feedback so we can keep improving our logistics and content. Please fill this quick survey and let us know your thoughts (your answers will be anonymous).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. SALES
Sale representative responsive to your inquiries.
*
Poor
1
2
3
4
5
Excellent
Would you like to hold a in-service / lunch and learn about our products.
*
Yes
No
Accuracy of orders entered and all necessary information is being labeled.
*
Poor
1
2
3
4
5
Excellent
Timely notification of any delays, back-orders, deviations on the original order.
*
Poor
1
2
3
4
5
Excellent
Handling your changes to the original order.
*
Poor
1
2
3
4
5
Excellent
Accuracy of the invoices.
*
Poor
1
2
3
4
5
Excellent
Turn-around time on your orders.
*
Poor
1
2
3
4
5
Excellent
2. MARKETING
Are our order forms helpful and easy to use.
*
Poor
1
2
3
4
5
Excellent
Is our parts book user friendly / easy to navigate.
*
Poor
1
2
3
4
5
Excellent
What is a feature you wish our website had.
*
Your answer
What other products (or product features) would you like us to offer or add on.
*
Your answer
Is our website easy to navigate? Did you have any problems.
*
Your answer
Would you prefer price discounts or rebates on our promotions.
*
Price Discounts
Rebate
What other changes on our website would you like to see in the future.
*
Your answer
3. CUSTOMER SERVICE
Responsiveness to your inquiries about an order in-process.
*
Poor
1
2
3
4
5
Excellent
Concerns or questions are adequately addressed by email / phone.
*
Poor
1
2
3
4
5
Excellent
Handling of your complaints.
*
Poor
1
2
3
4
5
Excellent
4. PRODUCTS QUALITY
Compliance of products delivered to the specified requirements.
*
Poor
1
2
3
4
5
Excellent
Value and cost-effectiveness of the product.
*
Poor
1
2
3
4
5
Excellent
Reliability of the product.
*
Poor
1
2
3
4
5
Excellent
5. DELIVERY
On-time delivery.
*
Poor
1
2
3
4
5
Excellent
Completeness of the order delivered.
*
Poor
1
2
3
4
5
Excellent
Packaging of the order delivered.
*
Poor
1
2
3
4
5
Excellent
The shipping process.
*
Poor
1
2
3
4
5
Excellent
6. OVERALL
"How does FMH (Future Mobility Healthcare) Inc. compare with other suppliers for similar products and services?"
*
Poor
1
2
3
4
5
Excellent
What would you like to see FMH Inc. provide to you in order to become your Preferred Provider for products and services?
Your answer
Do you require more information and communications regarding our products or updates?
Your answer
Do you feel like your needs, as a French-speaking client, are being met? If no, please advice us how we can improve.
Your answer
Any other comments you would like to add.
Your answer
Your Name.
Your answer
Company Name.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
