For each of the following questions select a number which represents:

1 unsatisfactory 3 marginal 5 satisfactory 7 very good 9 excellent

Timeliness:

Of responses for customer support information  1     3     5     7    9

Of scheduled deliveries     1     3     5     7    9

Of Requests for Quotes     1     3     5     7    9

Of responsiveness to your needs    1     3     5     7    9

Quality:

Of shipping documents     1     3     5     7    9

Of required accompanying documentation   1     3     5     7    9

Of delivered product including workmanship  1     3     5     7    9

Complete shipments     1     3     5     7    9

Satisfaction

How can we improve our service to you ?    1     3     5     7    9

Are all your requirements being met by us ?  1     3     5     7    9

Customer : _____________________________ 

Tele:____________ Fax: __________

Contact: ______________________.