R&I - Customer Satisfaction Survey Form

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R&I - Customer Satisfaction Survey Form

1
CompanyPlease enter your Company name.
2
NamePlease enter your name.
First Name
Last Name
3
Phone NumberPlease enter your phone number.
Area Code
Phone Number
4
Overall satisfaction of service
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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5
Quality Satisfaction How do you rate our product conformity?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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6
Quality Satisfaction How do you rate our Corrective Action Process?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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7
Service/FlexibilityHow do you rate our quotation cycle time?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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8
Service/FlexibilityHow do you rate our product lead time?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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9
DeliveryHow do you rate our on-time delivery?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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10
Customer ServiceHow do you rate our customer service?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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11
Customer ServiceHow do you rate our follow up?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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12
Customer ServiceHow do you rate our staff cooperation?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Rating
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Rating
Very satisfied
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Satisfied
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Neutral
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Unsatisfied
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Very unsatisfied
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13
FeedbackPlease feel free to provide us any comments or feedback. Thank you :)
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