EXIT Kerkau Manufacturing Customer Survey Question Title * 1. How long have you used Kerkau flanges? 6 months or Less 6 months to 1 year 1 to 3 years 3 to 5 years 5 to 10 years over 10 years OK Question Title * 2. How often do you use/purchase our flanges? Once/week or more 2 to 3 times/month Once/month Less than once/month Never used OK Question Title * 3. Overall, how satisfied are you with Kerkau flanges? Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied Very Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Very Dissatisfied OK Question Title * 4. How often do you purchase products other than flanges? Daily Weekly Bi-weekly Monthly Never OK Question Title * 5. Compared to available flange alternatives, Kerkau is... Much Worse Somewhat Worse Same Somewhat Better Much Better N/A Much Worse Somewhat Worse Same Somewhat Better Much Better N/A OK Question Title * 6. Will you use/purchase Kerkau flanges again? Definitely Probably Not sure Probably not Definitely not OK Question Title * 7. Would you recommend Kerkau flanges or products to others? Definitely Probably Not sure Probably not Definitely not Never Used OK Question Title * 8. Please rate Kerkau on how well we perform in the following areas. (Select "N/A" if you are not sure or if it does not apply.) Poor Below Average Average Above Average Excellent N/A Product quality Product quality Poor Product quality Below Average Product quality Average Product quality Above Average Product quality Excellent Product quality N/A Delivery Delivery Poor Delivery Below Average Delivery Average Delivery Above Average Delivery Excellent Delivery N/A Price Price Poor Price Below Average Price Average Price Above Average Price Excellent Price N/A Service Service Poor Service Below Average Service Average Service Above Average Service Excellent Service N/A After purchase service After purchase service Poor After purchase service Below Average After purchase service Average After purchase service Above Average After purchase service Excellent After purchase service N/A Knowledge of Sales Staff Knowledge of Sales Staff Poor Knowledge of Sales Staff Below Average Knowledge of Sales Staff Average Knowledge of Sales Staff Above Average Knowledge of Sales Staff Excellent Knowledge of Sales Staff N/A OK Question Title * 9. Are there any products outside of flanges that you would like Kerkau to manufacture? OK Question Title * 10. Please list any end users who require flange manufacturers to be on their approval lists: OK Question Title * 11. What can be done by Kerkau to increase business with your company? OK Question Title * 12. Is there anything you would like to tell Kerkau about its products or customer service that was not already asked in the survey? OK Question Title * 13. Would you like a copy of our brochure packet? (If yes, below, please provide the physical address where you would like us to mail it to you.) Yes No OK Question Title * 14. Completed By: Name: * Title: * Company: * Address: City/Town: State: -- 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: Country: E-mail Address: * Phone Number: * OK Thank you for taking the time to complete this survey. We highly value your feedback! OK SUBMIT