Copy of Jergens Customer Satisfaction Survey

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* 1. What is your Customer Account name?

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* 2. What is your preferred email address?

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* 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

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

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 5. Please rate Jergens product performance and quality.

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 7. How would you rate Jergens on time delivery?

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 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	Select one Not at all responsive	Select one Not so responsive	Select one Somewhat responsive	Select one Very responsive	Select one Extremely responsive	Select one N/A

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

	Poor	Unsatisfactory	Average	Good	Excellent	N/A
Select one	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 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	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 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	Select one Poor	Select one Unsatisfactory	Select one Average	Select one Good	Select one Excellent	Select one N/A

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* 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	Select one 1	Select one 2	Select one 3	Select one 4	Select one 5	Select one 6	Select one 7	Select one 8	Select one 9	Select one 10

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* 14. In your opinion, how can Jergens improve?