Customer Satisfaction Survey

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Customer Satisfaction Survey

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* Indicates required question

COMPANY NAME *

Your answer

DATE *

MM

/

DD

/

YYYY

Promptness in which your request was answered
*

slow

1

2

3

4

5

fast

Helpfulness of our customer service rep
*

not helpful

1

2

3

4

5

very helpful

Technical assistance from Engineering dept.
*

not helpful

1

2

3

4

5

very helpful

Shipments received on time
*

never

1

2

3

4

5

always

Product received to specification
*

never

1

2

3

4

5

always

Quality of products received
*

poor

1

2

3

4

5

excellent

COMMENTS / RECOMMENDATIONS

Your answer

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