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* 1. Full Name

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* 2. Company Name

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* 3. Company email address?

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* 5. Which of the following best describes your initial Cubiscan setup process?

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* 6. How satisfied are you with the functionality and performance of your Cubiscan device?

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* 7. How responsive is our sales team?

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* 8. How well do the technical support representatives at Cubiscan solve your problems?

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* 9. How well do you find the performance and flexibility of the Qbit software interface?

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* 10. How well have we been able to meet your objectives with the Cubiscan purchase?

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* 11. How likely are you to recommend Cubiscan to people you know?

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* 12. Would you be willing to be a customer reference and/or participate in a case study?

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* 13. Do you have any suggestions, wishes, criticism? Please let us know...

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