Parcus Medical, LLC: Customer Feedback Form Question Title * Contact Information Contact Facility Name Account # Email Phone Please rate us below on the following products and services: Titanium IF Screws, PEEK CF IF Screws, Titanium Anchors, PEEK CF Anchors, GFS, Traction Kit, guide Pins & Wires, Suture, and Other. Question Title * Product Poor Below Average Average Above Average Excellent N/A Quality Quality Poor Quality Below Average Quality Average Quality Above Average Quality Excellent Quality N/A Details of Feedback: (For a specific product, please list name and/or part number) Performance Performance Poor Performance Below Average Performance Average Performance Above Average Performance Excellent Performance N/A Details of Feedback: (For a specific product, please list name and/or part number) Effectiveness Effectiveness Poor Effectiveness Below Average Effectiveness Average Effectiveness Above Average Effectiveness Excellent Effectiveness N/A Details of Feedback: (For a specific product, please list name and/or part number) Price Price Poor Price Below Average Price Average Price Above Average Price Excellent Price N/A Details of Feedback: (For a specific product, please list name and/or part number) Question Title * Shipping Poor Below Average Average Above Average Excellent N/A Packaging Packaging Poor Packaging Below Average Packaging Average Packaging Above Average Packaging Excellent Packaging N/A Details of Feedback: (For a specific product, please list name and/or part number) Shipping/Delivery Shipping/Delivery Poor Shipping/Delivery Below Average Shipping/Delivery Average Shipping/Delivery Above Average Shipping/Delivery Excellent Shipping/Delivery N/A Details of Feedback: (For a specific product, please list name and/or part number) Question Title * Customer Support (Response time to...) Poor Below Average Average Above Average Excellent N/A ...answer questions ...answer questions Poor ...answer questions Below Average ...answer questions Average ...answer questions Above Average ...answer questions Excellent ...answer questions N/A Details of Feedback: (For a specific product, please list name and/or part number) ...answer/return calls ...answer/return calls Poor ...answer/return calls Below Average ...answer/return calls Average ...answer/return calls Above Average ...answer/return calls Excellent ...answer/return calls N/A Details of Feedback: (For a specific product, please list name and/or part number) ...order processing ...order processing Poor ...order processing Below Average ...order processing Average ...order processing Above Average ...order processing Excellent ...order processing N/A Details of Feedback: (For a specific product, please list name and/or part number) Friendliness of Staff Friendliness of Staff Poor Friendliness of Staff Below Average Friendliness of Staff Average Friendliness of Staff Above Average Friendliness of Staff Excellent Friendliness of Staff N/A Details of Feedback: (For a specific product, please list name and/or part number) Representative Support Representative Support Poor Representative Support Below Average Representative Support Average Representative Support Above Average Representative Support Excellent Representative Support N/A Details of Feedback: (For a specific product, please list name and/or part number) Engineering Support Engineering Support Poor Engineering Support Below Average Engineering Support Average Engineering Support Above Average Engineering Support Excellent Engineering Support N/A Details of Feedback: (For a specific product, please list name and/or part number) Question Title * Billing Poor Below Average Average Above Average Excellent N/A Clarity of Invoice Clarity of Invoice Poor Clarity of Invoice Below Average Clarity of Invoice Average Clarity of Invoice Above Average Clarity of Invoice Excellent Clarity of Invoice N/A Details of Feedback: (For a specific product, please list name and/or part number) Payments and Refunds Payments and Refunds Poor Payments and Refunds Below Average Payments and Refunds Average Payments and Refunds Above Average Payments and Refunds Excellent Payments and Refunds N/A Details of Feedback: (For a specific product, please list name and/or part number) Question Title * Comments/Suggestions Done