As a valued Akro-Mils customer, your continued satisfaction is very important to us. Please take a few moments and answer the following questions so we may better serve you in the future. Thank you.

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* 1. Date Survey Taken:

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?

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

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

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

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

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

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

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