Customer Survey Company Name: Contact Name: * Contact Title: * Phone: * Email: * (* Above contact details optional) Please complete the following feedback questions (select all that apply) Please select which category of customer type you are: Select Wholesaler Purchasing Clinical Patient Overall Level of Service How do you rate the overall level of service ? Select Excellent Very Good Good Average Poor Service Level Comments: Rate the following areas of service Service from the Sales Team Select Excellent Very Good Good Average Poor Technical Support Select Excellent Very Good Good Average Poor Order Processing Select Excellent Very Good Good Average Poor Product Delivery Select Excellent Very Good Good Average Poor How do you rate our website regarding ease of use and quality of information? Select Excellent Very Good Good Average Poor Service Rating Comments: Recommendation Level I would recommend Niche Medical Select Strongly Agree Agree Neutral Disagree Strongly Disagree products: Additional General Comments:
Customer Survey
Company Name:
Contact Name: *
Contact Title: *
Phone: *
Email: *
(* Above contact details optional)
Please complete the following feedback questions (select all that apply)
Please select which category of customer type you are: Select Wholesaler Purchasing Clinical Patient
Overall Level of Service How do you rate the overall level of service ? Select Excellent Very Good Good Average Poor Service Level Comments:
Rate the following areas of service Service from the Sales Team Select Excellent Very Good Good Average Poor
Technical Support Select Excellent Very Good Good Average Poor
Order Processing Select Excellent Very Good Good Average Poor
Product Delivery Select Excellent Very Good Good Average Poor
How do you rate our website regarding ease of use and quality of information? Select Excellent Very Good Good Average Poor Service Rating Comments:
Recommendation Level I would recommend Niche Medical Select Strongly Agree Agree Neutral Disagree Strongly Disagree products:
Additional General Comments:
