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Customer Satisfaction Survey
First Name
Last Name
Company Name
Title
Email Address
Phone
Ext.
What is the nature of your business?
Overall are you satisfied with your relationship with EZ-FLO/Eastman?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
How would you rate EZ-FLO/Eastman in the following areas:
Customer Support
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Product Quality
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Product Price
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Shipping Time
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Item Availability
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Order Accuracy
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Product Selection
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
Have you experienced any significant service and support related problems with EZ-FLO in the last year?
No
Yes
If so, could you describe the most significant service or support related problems that you have experienced:
Did you inform EZ-FLO of this problem?
Yes
No
How satisfied were you with EZ-FLO's ability to solve this problem?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
How likely are you to recommend EZ-FLO/Eastman products? Would you say...
Definitely Would
Probably Would
Might or Might Not
Probably Would Not
Definitely Would Not
Not Applicable
Please estimate what percentage of your total sales come from EZ-FLO/Eastman products?
Considering your next business year, is the amount of business you do with EZ-FLO/Eastman more likely to:
Significantly Increase
Moderately Increase
Remain the Same
Moderately Decrease
Significantly Decrease
Not Applicable
What are the specific factors that differentiate EZ-FLO products from other manufacturers of the same products and promote you to continue to do business with EZ-FLO?
Are there any significant barriers that keep you from doing more business with EZ-FLO/Eastman? (please be specific)
Have you ever placed an order online at www.ez-flo.net?
Yes
No
If Yes, How would you rate your online ordering experience?
Excellent
Very Good
Good
Fair
Poor
What additional service, support, product or product line would you like to see from EZ-FLO?
Is there anything else you would like to add?