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* 1. What is your company's name?

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* 2. Contact Information

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* 3. Please select your machinery brand.

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* 4. Choose which category of support

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* 5. How likely is it that you would recommend our company to a friend or colleague?

Not at all likely
Extremely likely

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* 6. Do you feel our service representative did all they could do to provide you with a positive experience?

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* 7. Is there any immediate assistance we can provide? (please provide best contact info)

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* 8. Can you offer us any ideas or thoughts as to how we can improve our customer experience in the future? We appreciate any and all advice!

T