Company:
Name of person completing survey:
Title:

To better serve you, we ask you to rate our service in the following categories:

	EXCELLENT	GOOD	AVERAGE	FAIR	POOR
1. Quality of units purchased
2. On-time and proper deliveries
3. Helpful, courteous sales representative
4. Competitive pricing
5. Fast and effective problem resolution
6. Overall quality of services provided

In what area do you feel the most improvement is needed?

What do you feel is our largest area of strength in servicing you?

IF APPLICABLE:
With your concurrence, we would like to contact you in approximately 3 months to determine if any weak areas have improved. If this is ok with you, who should we contact to determine if we have improved in these areas: