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* 1. How likely is it that you would recommend Qosina to a friend or colleague?

Not at all likely
Extremely likely

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* 2. How long have you been a Qosina customer?

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* 3. How does our current product offering meet your needs?

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* 4. Are there any products or services you require that Qosina does not offer?

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* 5. How would you rate the quality of our products?

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* 6. How responsive have our representatives been to your questions or concerns about our products and services?

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* 7. How satisfied are you with the speed in which you receive your orders from Qosina?

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* 8. Thinking back to your last experience with Qosina, how knowledgeable was the representative you worked with?

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* 9. Overall, how satisfied or dissatisfied are you with Qosina?

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* 10. Do you have any other comments, questions, or suggestions to share with Qosina?

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* 11. Please provide the following contact information:

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