Customer Survey Name* First Last Title* Company* Date MM slash DD slash YYYY About Our SurveyIn our continuing efforts to improve our quality system, please complete this Customer Survey Form. Your input will assist us significantly in further improving our product quality and responsiveness to your requirements.OVERALL QUALITY OF PRODUCT ORDERED* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent OVERALL QUALITY OF PACKING, PACKAGING AND PRESERVATION* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent ON-TIME DELIVERY* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent RECORDS PROVIDED* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent RESPONSIVENESS TO SHIPPING SCHEDULES AND CHANGES* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent VALUE* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent INVOICING* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent COURTESY OF OUR PERSONNEL* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent RESPONSIVENESS OF OUR SALES PERSONNEL TO ORDERS* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent RESPONSIVENESS OF OUR PERSONNEL TO COMPLAINTS* 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent We would appreciate any comments you would care to make, elaborating on any of the survey items listed above or on any topic you may feel we have omitted. Comment Below:We would also appreciate any suggestions you may care to give us concerning improvements in any area of our business with you. We value your comments in this important area very highly since we are in business to provide the highest level of quality to our customers. Comment Below:CAPTCHAEmailThis field is for validation purposes and should be left unchanged.