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1
. Please fill out your contact information below.
Please fill out your contact information below.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Email Address:
Phone Number:
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2
. Do we deliver orders in a timely manner?
Do we deliver orders in a timely manner?
Yes
Somewhat
No
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3
. Do you experience back orders or substitutions frequently?
Do you experience back orders or substitutions frequently?
No
Sometimes
Yes
If Yes, which products?
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4
. Do you find our order confirmations, billing and/or electronic invoicing accurate and satisfactory?
Do you find our order confirmations, billing and/or electronic invoicing accurate and satisfactory?
Yes
Somewhat
No
If No, what problems do you experience?
5
. If we service equipment for you, is it being returned in an expedient manner?
If we service equipment for you, is it being returned in an expedient manner?
Yes
n/a
Somewhat
No
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6
. Would you be interested in our on-line ordering system?
Would you be interested in our on-line ordering system?
Yes
I already utilize your on-line ordering system.
No
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7
. Please rate your Sales Representative's overall performance.
Please rate your Sales Representative's overall performance.
Outstanding
Satisfactory
Needs improvement
Unsatisfactory
How can he or she improve?
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8
. Are we helpful in assisting you with cost reduction plans?
Are we helpful in assisting you with cost reduction plans?
Yes
No
If No, how can we be of more help?
9
. Do we perform adequate training for your personnel?
Do we perform adequate training for your personnel?
Yes
n/a
No
If No, which areas need improvement?
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10
. Which HP personnel provide the most help to you and your Company?
Which HP personnel provide the most help to you and your Company?
Sales Representative
Customer Representative
Delivery Personnel
Service Technician
Will Call Associate
Other (please specify)
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11
. How would you classify your operations?
How would you classify your operations?
Manufacturing
Education
Healthcare
Commercial Building
Building Contractor
Other (please specify)
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12
. Have we provided Safety supplies to your facility?
Have we provided Safety supplies to your facility?
Yes
Somewhat
No
If No, what products would your Company benefit from?
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13
. Are the products supplied by our Laundry/Warewash Division performing properly in your facility?
Are the products supplied by our Laundry/Warewash Division performing properly in your facility?
Yes
Somewhat
No
n/a
If No, which products are giving you trouble?
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14
. Would you be interested in a lighting audit?
Would you be interested in a lighting audit?
Yes, I am interested in finding ways to save money.
No, not at this time.
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15
. Would you be interested in utilizing HP's Green Solutions?
Would you be interested in utilizing HP's Green Solutions?
I am already benefitting from these products and services.
Yes, I'd like more information on these products and services.
No, not at this time.
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16
. Does your facility use corrugated boxes, stretch film or other packaging items?
Does your facility use corrugated boxes, stretch film or other packaging items?
Yes
No
If Yes, are you getting these packaging supplies from HP?
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17
. Are you aware that HP Products is a Woman-Owned Enterprise (WBE)?
Are you aware that HP Products is a Woman-Owned Enterprise (WBE)?
Yes
No
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18
. Which answer best describes how you feel about HP and all of it's aspects?
Which answer best describes how you feel about HP and all of it's aspects?
Very satisfied
Content
Unhappy
Very dissatisfied
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19
. Have you enjoyed receiving our monthly newsletter?
Have you enjoyed receiving our monthly newsletter?
Yes
No
If No, how can we improve?
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20
. If you are finding our newsletter beneficial, what areas interest you the most?
If you are finding our newsletter beneficial, what areas interest you the most?
Learning about HP's wide variety of products
HP's email exclusive deals
Getting to know the HP family
HP's Cleaning Tips
Other (please specify)
21
. Thank you for your input.
We value your opinions and would appreciate receiving additional feedback and/or suggestions.
Thank you for your input. We value your opinions and would appreciate receiving additional feedback and/or suggestions.
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