General Customer Feedback
Hospital or Health Institution Name:
Customer Name:
First Name
Last Name
Date
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Month
-
Day
Year
Today's Date
Please rate our services from 1 star to 5 stars:
1 Star: Extremely Poor or Non-Existent 2 Stars: Poor 3 Stars: Fair 4 Stars: Good 5 stars: Excellent
The response time to any enquiries and/or quotations?
1
2
3
4
5
Lead Times for Delivery Once Orders are Placed?
1
2
3
4
5
Overall Service received from the Dynamed Sales team?
1
2
3
4
5
Condition of Goods Received Upon Delivery?
1
2
3
4
5
Response Time to Emergency Orders?
1
2
3
4
5
Overall Receiving and Dispatch Service?
1
2
3
4
5
How Would you Rate Dynamed Product Quality?
1
2
3
4
5
Repurchase Intentions?
1
2
3
4
5
How Likely are you to Recommend us to a Colleague?
Unlikely
1
2
3
4
5
6
7
8
9
Extremely lIkely
10
1 is Unlikely, 10 is Extremely lIkely
Please share any additional comments, queries, compliments or complaints
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