Customer Satisfaction Survey

Thank you for taking the time to fill out this questionnaire. We value your feedback!

Name: *

Company:

Phone:

E-Mail:

Please select your area of responsibility: *

Management

Purchasing

Technical

Operations

Product quality

1=Poor 3=Fair 5=Excellent

Product performance: *

n/a

Product performance as compared to our competitors’ products

COA accuracy: *

n/a

Customer Service

1=Poor 3=Fair 5=Excellent

Knowledge of customer requirements as compared to our competitors: *

n/a

On time deliveries: *

n/a

Accuracy of order fulfillment: *

n/a

Cooperative and courteous: *

n/a

Ability to respond in an urgent situation: *

n/a

Lab Service

1=Poor 3=Fair 5=Excellent

Lab study quality as compared to our competitors’ lab studies: *

n/a

Lab reliability: *

n/a

On site lab testing quality and accuracy (if applicable): *

n/a

Technical Sales Representative

1=Poor 3=Fair 5=Excellent

Product application knowledge as compared to our competitors: *

n/a

Knowledge of your system: *

n/a

Responds in a cooperative and timely manner: *

n/a

Well known and respected throughout your organization: *

n/a

Ability to respond in a crisis situation: *

n/a

Bercen, Inc

1=Poor 3=Fair 5=Excellent

Bercen’s reputation in the industry as compared to our competition: *

n/a

Bercen is viewed as an innovative company: *

n/a

You enjoy doing business with Bercen: *

n/a

How do you rate Bercen's newly designed website?: *

n/a

Please add any comments or suggestions below.

Bercen’s employee expertise: *

n/a

Overall Salesman’s performance: *

n/a

Additional Comments:

If you score any item at 3 or lower, please add comments as to how Bercen can better serve you as a customer. Use additional space if necessary. These evaluations will be reviewed and discussed during our Management Review Meetings

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