1.What is your Customer Account name?

2.What is your preferred email address?

3.What Product Type (Group) do you primarily purchase from Jergens?

Workholding (Tooling Components; Quick Change - Ball Lock; Vises; Clamping; 5-Axis Vises)

Specialty Fasteners (Quick Release Pins, Inserts, Knobs, Handles, Toggle Clamps)

Hoist Rings

All of the above

4.What has been your overall experience with Jergens over the last 12 months?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

5.Please rate Jergens product performance and quality.

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

6.How would you rate the availability (stock) of Jergens standard products?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

7.How would you rate Jergens on time delivery?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

8.How would you rate the pricing and value of Jergens products? 

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

9.Overall, how responsive has our Customer Service Team been to your questions or concerns?

Not at all responsive

Not so responsive

Somewhat responsive

Very responsive

Extremely responsive

N/A

Select one

10.How has your experience been with Jergens Outside Sales Representatives?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

11.How helpful was Jergens Technical/Engineering Support team to your questions or concerns about our products?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

12.How would you rate the ability to navigate and search for products on the Jergensinc.com website?

Poor

Unsatisfactory

Average

Good

Excellent

N/A

Select one

13.On a scale of 1-10, how likely is it that you would recommend Jergens to a friend or colleague?

1

2

3

4

5

6

7

8

9

10

Select one

1

2

3

4

5

6

7

8

9

10

14.In your opinion, how can Jergens improve?