Customer Satisfaction Survey

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* 1. Date Survey Taken:

Date:

Date

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* 2. Name:

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* 3. Job Description:

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* 4. Company Name:

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* 5. Email Address:

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* 6. What is your relationship to Akro-Mils?

Dealer/Distributor

End User

Other (please specify)

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* 7. What industries or markets are your primary areas of focus?

Industrial

Consumer Products

OEM/Customer

Healthcare

Laboratory

Waste Transport

Automotive

Pharmaceutical/Medical

Military

Other (please specify)

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* 8. What types of products do you order from Akro-Mils?

Storage Bins

Totes

Attached Lid Containers

Racks

Shelving

Carts

Work Centers

Waste Transport

Crafts/Hobbies

Home Organization

Office Organization

Other (please specify)

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* 9. In general, when considering your suppliers, please rate your level of importance on each of the following:

	Very Unimportant	Unimportant	Neutral	Important	Very Important
Price	Price Very Unimportant	Price Unimportant	Price Neutral	Price Important	Price Very Important
Product Quality	Product Quality Very Unimportant	Product Quality Unimportant	Product Quality Neutral	Product Quality Important	Product Quality Very Important
Sales Rep Availability	Sales Rep Availability Very Unimportant	Sales Rep Availability Unimportant	Sales Rep Availability Neutral	Sales Rep Availability Important	Sales Rep Availability Very Important
Product Literature	Product Literature Very Unimportant	Product Literature Unimportant	Product Literature Neutral	Product Literature Important	Product Literature Very Important
Customer Service	Customer Service Very Unimportant	Customer Service Unimportant	Customer Service Neutral	Customer Service Important	Customer Service Very Important
Quoting Process	Quoting Process Very Unimportant	Quoting Process Unimportant	Quoting Process Neutral	Quoting Process Important	Quoting Process Very Important
Web Site	Web Site Very Unimportant	Web Site Unimportant	Web Site Neutral	Web Site Important	Web Site Very Important
Innovative Products	Innovative Products Very Unimportant	Innovative Products Unimportant	Innovative Products Neutral	Innovative Products Important	Innovative Products Very Important
Ordering Process	Ordering Process Very Unimportant	Ordering Process Unimportant	Ordering Process Neutral	Ordering Process Important	Ordering Process Very Important
Usage Instructions	Usage Instructions Very Unimportant	Usage Instructions Unimportant	Usage Instructions Neutral	Usage Instructions Important	Usage Instructions Very Important
Lead Time Accuracy	Lead Time Accuracy Very Unimportant	Lead Time Accuracy Unimportant	Lead Time Accuracy Neutral	Lead Time Accuracy Important	Lead Time Accuracy Very Important
Confirmation of P.O.	Confirmation of P.O. Very Unimportant	Confirmation of P.O. Unimportant	Confirmation of P.O. Neutral	Confirmation of P.O. Important	Confirmation of P.O. Very Important
Product Selection	Product Selection Very Unimportant	Product Selection Unimportant	Product Selection Neutral	Product Selection Important	Product Selection Very Important

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* 10. Please rate your experience with Akro-Mils based on each of the following:

	Poor	Below Average	Average	Above Average	Excellent
Price	Price Poor	Price Below Average	Price Average	Price Above Average	Price Excellent
Product Quality	Product Quality Poor	Product Quality Below Average	Product Quality Average	Product Quality Above Average	Product Quality Excellent
Sales Rep Availability	Sales Rep Availability Poor	Sales Rep Availability Below Average	Sales Rep Availability Average	Sales Rep Availability Above Average	Sales Rep Availability Excellent
Product Literature	Product Literature Poor	Product Literature Below Average	Product Literature Average	Product Literature Above Average	Product Literature Excellent
Customer Service	Customer Service Poor	Customer Service Below Average	Customer Service Average	Customer Service Above Average	Customer Service Excellent
Quoting Process	Quoting Process Poor	Quoting Process Below Average	Quoting Process Average	Quoting Process Above Average	Quoting Process Excellent
Web Site	Web Site Poor	Web Site Below Average	Web Site Average	Web Site Above Average	Web Site Excellent
Innovative Products	Innovative Products Poor	Innovative Products Below Average	Innovative Products Average	Innovative Products Above Average	Innovative Products Excellent
Ordering Process	Ordering Process Poor	Ordering Process Below Average	Ordering Process Average	Ordering Process Above Average	Ordering Process Excellent
Usage Instructions	Usage Instructions Poor	Usage Instructions Below Average	Usage Instructions Average	Usage Instructions Above Average	Usage Instructions Excellent
Lead Time Accuracy	Lead Time Accuracy Poor	Lead Time Accuracy Below Average	Lead Time Accuracy Average	Lead Time Accuracy Above Average	Lead Time Accuracy Excellent
Confirmation of P.O.	Confirmation of P.O. Poor	Confirmation of P.O. Below Average	Confirmation of P.O. Average	Confirmation of P.O. Above Average	Confirmation of P.O. Excellent
Product Selection	Product Selection Poor	Product Selection Below Average	Product Selection Average	Product Selection Above Average	Product Selection Excellent

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* 11. How do you normally submit orders to us?

EDI

Phone

Other (please specify)

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* 12. How do you normally receive order confirmations from us?

Fax

EDI

Phone

N/A

Other (please specify)