Customer Survey
Please take a moment to let us know how we're doing, as well as to give us a better understanding on how we can meet your future needs.
Thank you in advance for your time!
Contact Information
Name
Company
Email
Phone
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Performance Ratings
Please rate us on the following attributes:
Poor
Fair
Average
Good
Excellent
N/A
1. Product offering
2. Product quality
3. Product appropriate to your needs
4. Orders complete/accurate
5. Timeliness
6. Service
7. Promptness/thoroughness in handling any concerns
8. Openness to suggestions
What are your primary and secondary reasons for selecting us for your product needs?
Please rank #1 and #2.
Reason #1
Creative ideas provided
Customer service
Location
My Sales Rep
Overall product quality
Overall product selection
Previous experience
Price
Other
Reason #2
Creative ideas provided
Customer service
Location
My Sales Rep
Overall product quality
Overall product selection
Previous experience
Price
Other
Recommendations
Based on your experience, would you refer our company to others?
yes
no
Additional Comments
If you have any additional comments, please enter them below.