Customer Satisfaction with Company
Answers marked with a * are required.
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Thank you for being a customer. Please help us improve our product and our service to you by completing this survey.

The entire survey will take approximately 5 minutes to complete.
1. What is your overall satisfaction rating with our company?


2. Please tell us why you feel that way.
3. How likely are you to recommend our product to a friend or colleague?


4. Please tell us why you feel that way
5. Please rate your level of satisfaction with your sales representative in the following areas.
  5 - Very Satisfied 4 - Somewhat Satisfied 3 - Neither Satisfied Nor Dissatisfied 2 - Somewhat Dissatisfied 1 - Very Dissatisfied
Understanding of my needs
6. If you have any additional comments about how we can improve your satisfaction with our products and services, please fill them in here
7. May we contact you about any of your responses?
8. Contact Information, if applicable:
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