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Information Your Name(optional):
Company Name:

Please select a FXI location.

Please select a FXI location. Corprate Center Media, PA

Novi, MI

Eddystone, PA

Acuna, COAH, MX

Albuquerque, NM

Auburn, IN

Cornelius, NC

Compton, CA

Corry, PA

Cuautitlan, EM, MX

Denver, CO

East Rutherford, NJ

Fort Wayne, IN

Houston, TX

Juarez, CH, MX

Kent, WA

Montreal, QC, CA

Morristown, TN

Omaha, NE

Orange, CA

Portland, OR

Saltillo, Coahuila, MX

San Leandro, CA

Santa Teresa, NM

Shanghai, P.R. China

Tupelo, MS

Overall Satisfaction Rating:

	Excellent	Above Average	Average	Poor	Unacceptable	N/A
Overall Satisfaction Rating:	*Overall Satisfaction Rating: Overall Satisfaction Rating: Excellent	Overall Satisfaction Rating: Above Average	Overall Satisfaction Rating: Average	Overall Satisfaction Rating: Poor	Overall Satisfaction Rating: Unacceptable	Overall Satisfaction Rating: N/A

Sales Service

	Excellent	Above Average	Average	Poor	Unacceptable	N/A
Responsiveness:	*Sales Service Responsiveness: Excellent	Responsiveness: Above Average	Responsiveness: Average	Responsiveness: Poor	Responsiveness: Unacceptable	Responsiveness: N/A
Sales person’s knowledge (product, price, market)	Sales person’s knowledge (product, price, market) Excellent	Sales person’s knowledge (product, price, market) Above Average	Sales person’s knowledge (product, price, market) Average	Sales person’s knowledge (product, price, market) Poor	Sales person’s knowledge (product, price, market) Unacceptable	Sales person’s knowledge (product, price, market) N/A
Knowledge of your business:	Knowledge of your business: Excellent	Knowledge of your business: Above Average	Knowledge of your business: Average	Knowledge of your business: Poor	Knowledge of your business: Unacceptable	Knowledge of your business: N/A

Comments for Sales Service:

Does your sales person call you enough?

Does your sales person call you enough? Yes

No

Manufacturing & Quality:

	Excellent	Above Average	Average	Poor	Unacceptable	N/A
On-Time Delivery:	*Manufacturing & Quality: On-Time Delivery: Excellent	On-Time Delivery: Above Average	On-Time Delivery: Average	On-Time Delivery: Poor	On-Time Delivery: Unacceptable	On-Time Delivery: N/A
Product Quality:	Product Quality: Excellent	Product Quality: Above Average	Product Quality: Average	Product Quality: Poor	Product Quality: Unacceptable	Product Quality: N/A
Product Met Fit, Form & Function Requirements:	Product Met Fit, Form & Function Requirements: Excellent	Product Met Fit, Form & Function Requirements: Above Average	Product Met Fit, Form & Function Requirements: Average	Product Met Fit, Form & Function Requirements: Poor	Product Met Fit, Form & Function Requirements: Unacceptable	Product Met Fit, Form & Function Requirements: N/A

Comments for Manufacturing & Quality:

Customer Service:

	Excellent	Above Average	Average	Poor	Unacceptable	N/A
Customer Service:	*Customer Service: Customer Service: Excellent	Customer Service: Above Average	Customer Service: Average	Customer Service: Poor	Customer Service: Unacceptable	Customer Service: N/A

Comments for Customer Service:

Other Questions:

	Excellent	Above Average	Average	Poor	Unacceptable	N/A
How does our quality compare to similar suppliers?	*Other Questions: How does our quality compare to similar suppliers? Excellent	How does our quality compare to similar suppliers? Above Average	How does our quality compare to similar suppliers? Average	How does our quality compare to similar suppliers? Poor	How does our quality compare to similar suppliers? Unacceptable	How does our quality compare to similar suppliers? N/A
How does our service compare to similar suppliers?	How does our service compare to similar suppliers? Excellent	How does our service compare to similar suppliers? Above Average	How does our service compare to similar suppliers? Average	How does our service compare to similar suppliers? Poor	How does our service compare to similar suppliers? Unacceptable	How does our service compare to similar suppliers? N/A
How do you rate the perception of the product value?	How do you rate the perception of the product value? Excellent	How do you rate the perception of the product value? Above Average	How do you rate the perception of the product value? Average	How do you rate the perception of the product value? Poor	How do you rate the perception of the product value? Unacceptable	How do you rate the perception of the product value? N/A
How do you rate your satisfaction with product price?	How do you rate your satisfaction with product price? Excellent	How do you rate your satisfaction with product price? Above Average	How do you rate your satisfaction with product price? Average	How do you rate your satisfaction with product price? Poor	How do you rate your satisfaction with product price? Unacceptable	How do you rate your satisfaction with product price? N/A

In your opinion what is the most important area that FXI needs to improve to meet your needs and improve as a supplier?

Will you place orders with FXI in the future?

Will you place orders with FXI in the future? Yes

No

Comments: