CUSTOMER SATISFACTION SURVEY

Please rate our services with a rating of 1-5 with Excellent = 5 and Poor =1.

CUSTOMER SERVICE / INTAKE PERSONNEL

Friendliness/courtesy of the person taking your order?
5 4 3 2 1

Attitude of the person handling your order?

5 4 3 2 1

Time to complete the order intake process?

5 4 3 2 1

Knowledge of the person taking your order?

5 4 3 2 1

ITEMS ORDERED

Were the items in stock and available to fulfill your order?

5 4 3 2 1

If items were not in stock, how timely was the order filled?

5 4 3 2 1

If items ordered would be delayed, were you informed?

5 4 3 2 1

DELIVERY OF ORDER

Did your order arrive in a timely manor?

5 4 3 2 1

Was your order complete?

5 4 3 2 1

Did your order arrive properly without damage?

5 4 3 2 1

OVERALL SATISFACTION

Overall rating of company personnel?

5 4 3 2 1

Overall rating of products/services?

5 4 3 2 1

Overall rating of the company?

5 4 3 2 1

COMMENTS



(C) 2009 Music City Medical Supply