* 1. Please provide your current contact information

* 2. Who makes the purchasing decision in your organization?

* 3. Please rate your satisfaction with Sirchie on... 

  Excellent  Above Average  Average  Below Average  Very Poor 
Customer Service
Delivery Times

* 4. What is most important to you when purchasing? (1 being most important, 4 being least important)

* 5. Do you use Sirchie.com? If yes, what do you visit our site for? Check all that apply

* 6. How likely are you to recommend Sirchie to a friend or colleague?

* 7. My Account Representative is...

  Excellent Above Average Average Below Average  Very Poor 
Knowledgeable about the product 
Responds to questions in a timely manner 
Is Professional and Courteous 
Is concerned about my organization's needs

* 8. Have you attended a training or webinar? What topics would you like to see covered?

* 9. How do you prefer to receive communications about our products and services? Check all that apply

* 10. What Sirchie products would you like to learn about? Please check all that apply.

* 11. Are you aware of our new riot control/extraction tactical suit, TacCommander?

* 12. Do you have any additional questions, comments or concerns?