Customer Portal Satisfaction Survey Question Title * 1. Please answer the first 5 questions by selecting the number most applicable. Any detail in the last 3 questions is appreciated. Highly Satisfied Satisfied Neutral Not Satisfied Dissatisfied Overall Experience Overall Experience Highly Satisfied Overall Experience Satisfied Overall Experience Neutral Overall Experience Not Satisfied Overall Experience Dissatisfied Ease of Use Ease of Use Highly Satisfied Ease of Use Satisfied Ease of Use Neutral Ease of Use Not Satisfied Ease of Use Dissatisfied Edit Order Functionality Edit Order Functionality Highly Satisfied Edit Order Functionality Satisfied Edit Order Functionality Neutral Edit Order Functionality Not Satisfied Edit Order Functionality Dissatisfied View Changes View Changes Highly Satisfied View Changes Satisfied View Changes Neutral View Changes Not Satisfied View Changes Dissatisfied Submit Order Process Submit Order Process Highly Satisfied Submit Order Process Satisfied Submit Order Process Neutral Submit Order Process Not Satisfied Submit Order Process Dissatisfied Question Title * 2. Would you be likely to use this feature to place reorders in the future? Yes No Please Explain Question Title * 3. Were you able to complete and access everything needed to place your order? Yes No If no why? Question Title * 4. How likely would it be for you to use this service for placing reorders in the future? Extremely Unlikely Unlikely Neutral Likely Extremely Likely Extremely Unlikely Unlikely Neutral Likely Extremely Likely Question Title * 5. Is there anything you would like us to add or do differently? Yes No Please explain: Question Title * 6. Please leave your contact information so we may contact you with any further inquires or updates to issues that you have raised. Name Church State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Done