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Customer Satifaction Survey
Organisation Name:
Address:
Name:
Job Title:
Email:
Date of completion:
DD
MM
YYYY
Product type:
List item/standard item
Research and Development item
Contract/custom item
Free sample
Did your product and/or service get delivered in a timely manner?
Yes
No
Was the packing information and consignment present and correct?
Yes
No
Overall, how satisfied or dissatisfied are you with the completion of this order?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
How likely is it that you would recommend this product to a friend or colleague?
0
1
2
3
4
5
6
7
8
9
10
0 = Not at all likely, 10 = Extremely likely
Overall, how satisfied or dissatisfied are you with Fluorogenics Ltd?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
Do you have any other comments, questions, or concerns?
