Customer Satisfaction Question Title * 1. Which type of product(s) have you purchased from us? Pigments for Coatings Pigments for Plastics Pigments for Inks Dispersions Other (please specify) OK Question Title * 2. How frequently do you purchase our products? Every month Every 2-3 months Every 4-6 months Every year Every two years Other (please specify) OK Question Title * 3. Do you always buy the same product(s)? Yes No Sometimes Other (please specify) OK Question Title * 4. Are you willing to try new product(s)? Yes No Maybe OK Question Title * 5. How did the product(s) perform in terms of: Insufficient Below Average Average Good Excellent Overall Quality Overall Quality Insufficient Overall Quality Below Average Overall Quality Average Overall Quality Good Overall Quality Excellent Value Value Insufficient Value Below Average Value Average Value Good Value Excellent Purchase Experience Purchase Experience Insufficient Purchase Experience Below Average Purchase Experience Average Purchase Experience Good Purchase Experience Excellent Customer Satisfaction Customer Satisfaction Insufficient Customer Satisfaction Below Average Customer Satisfaction Average Customer Satisfaction Good Customer Satisfaction Excellent Overall Satisfaction Overall Satisfaction Insufficient Overall Satisfaction Below Average Overall Satisfaction Average Overall Satisfaction Good Overall Satisfaction Excellent OK Question Title * 6. Based on your experience, how likely are you to purchase from us again? Very Unlikely Unlikely Unsure Likely Very Likely OK Question Title * 7. Please share with us a few things that we can do better: OK Question Title * 8. Would you like to receive our monthly newsletter? If yes, please provide your email address! OK Question Title * 9. Please provide your contact information so we can help to serve you better! Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK YOU'RE DONE!
