* indicates an answer is required.

* 1. Please complete customer contact information:

* 2. What location(s) do you purchase product from?

* 3. How would you rate the ease of order placement?

* 4. Do the product(s) meet specifications?

* 5. How would you rate the customer service provided by Fairmount Santrol?

* 6. How would you rate the consistency of the product's quality?

* 7. How would you rate our on-time delivery performance?

* 8. How would you rate the service provided by your sales representative and/or distributor?

* 9. How would you rate the Technical Service provided by Fairmount Santrol Personnel?

* 10. If you receive packaged product, how would you rate product's packaging condition upon arrival at your facility?

* 11. How would you rate our responsiveness to any problems/issues you've had?

* 12. Please feel free to leave any additional feedback. Thank you.

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