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Customer Satisfaction Survey

We would appreciate receiving your comments on the following survey

- Print & Fax Customer Satisfaction Survey

Customer Information:	Note: Red Asterisks are required fields!
Name :
Company Name :
Email :	*
Address1 :
Address2 :
City :
State :
Zip :
Phone :
Fax :

How would you rate your experience with the following:

Sales Department:
Were they knowledgeable, responsive to your requests?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Order Entry/Customer Service
Were they knowledgeable, courteous, and responsive to your needs?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Engineering:
Was product configured correctly for you requirements?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Shipping:
Was your order packed and shipped appropriately upon arrival to you?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Delivery:
Was product delivered in accordance to your Purchase Order Requirements?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Quality:
Does the product/service meet your expectations and requirements?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Communication:
Were you notified of any changes to your order, or were you able to communicate changes?
	Very Satisfied
	Satisfied
	Somewhat Satisfied
	Dissatisfied
	N/A

Clear all fields to begin again.

Once completed, click to continue.

Grundfos CBS Inc
Attn: Quality Assurance Department
902 Koomey Road
Brookshire, TX 77423