Customer Satisfaction Survey Form

We are always looking to improve the quality of our products and services. As part of this effort, we'd like to know what you think and would appreciate if you will spend a few minutes to evaluate the handful of items in this survey. As our valued customer, your opinion of our business relationship is the most important information we can obtain.

Please tell us about yourself.

Company Name:
Your Name: Title:
Years with Company:
e-mail Address: Telephone:

Please rank the importance of each of these items to you, and our relative ranking for each in your opinion. Please be encouraged to add comments in the space provided.

Rating Scale
1 ------- One of the best companies
2 ------- Better than most companies
3 ------- About the same as most companies
4 ------- Worse than most companies
5 ------- One of the worst companies
6 ------- N/A (no rating/not familiar with performance in this area)

Use this scale to rate our performance relative to all your major suppliers on the factors listed below:
 		            
Business Relationship and Support
Best
1
Better
2
Same
3
Worse
4
Worst
5
N/A
6
Works as a strategic partner to understand and present solutions for our unique business requirements
Offers a range of support and technical resources to facilitate projects
Overall value of products and services provided
Comments:
             
 
Product Development and Innovation
Best
1
Better
2
Same
3
Worse
4
Worst
5
N/A
6
Supplier is able to understand and translate my requirements into a product effective for my needs
Development is timely to accomplish my goals and communication throughout the process is appropriate
Products are reliable, and consistent from lot-to-lot
Comments:
             
 		            
Order Processing Experience
Best
1
Better
2
Same
3
Worse
4
Worst
5
N/A
6
Order placement is simple and efficient. Personnel are familiar with our products and configurations
Order lead time is sufficient and flexible to meet our needs
Deliveries are on-time and accurate
Changes to orders already placed is simple and efficient
Comments:
             
 		            
Reputation and Quality Systems
Best
1
Better
2
Same
3
Worse
4
Worst
5
N/A
6
The supplier is trusted for their integrity and confidentiality
Quality Systems satisfy our requirements
Audit hosting is professional and cooperative
Concerns are addressed in a timely and complete manner
Comments:
   
 

Corporate Headquarters Devens, MA