Customer Satisfaction Survey

The purpose of this survey is to evaluate the services provided by Qualitek International, Inc. Please circle the appropriate rating number next to each question. A "5" represents world class levels. "1" is poor, "3" is average. If you would like to add information not covered by the statements or provide examples that describe your opinion about a service, pleae do so in the comment sections provided at the end of this section. Your comments are valuable in improving our understanding of your requirements, appreciate each one of them.
Thank you for your time and effort in helping us reach our goals on our mission to constantly improve our products and services to become a world class vendor.

A. Reliability - Ability to deliver products dependably and accurately:
1. Follows through with commitments in a timely manner.
1. 1 2 3 4 5

2. Shows a sincere interest in solving my problems.
2. 1 2 3 4 5

3. Delivers consistent product.
3. 1 2 3 4 5

4. Is dependable when emergency stock is required.
3. 1 2 3 4 5

Enter your comments in the space provided befow:

B. Empathy-Attention Qualitek provides to its customers:
1. Gives personal attention.
1. 1 2 3 4 5

2. Has convenient service features (e.g. hours, locations, technical support, etc.)
2. 1 2 3 4 5

3. Understands customers needs.
3. 1 2 3 4 5

Enter your comments in the space provided befow:

C. Tangible - Appearance of facilities, equipment, personnel, and communication
C. materials:
1. Has modern and/or appropriate facilities and equipment.
1. 1 2 3 4 5

2. Projects a professional image.
2. 1 2 3 4 5

3. Facilities are located near customers.
3. 1 2 3 4 5

Enter your comments in the space provided befow:

D. Responsiveness - willingness to help customers and provide prompt service:
1. Qualitek communicates with me well on delivery, product and technical issues.
1. 1 2 3 4 5

2. Qualitek gives me prompt service.
2. 1 2 3 4 5

3. Qualitek is always willing to help me.
3. 1 2 3 4 5

Enter your comments in the space provided befow:

E. Assurance - Knowledge and courtesy of Qualitek:
1. Qualitek personnel are courteous.
1. 1 2 3 4 5

2. Qualitek employees have the knowledge to answer my questions.
2. 1 2 3 4 5

3. I feel confident my transactions will be handled appropriately and completely.
3. 1 2 3 4 5

4. I feel the information given by Qualitek is accurate and reliable.
3. 1 2 3 4 5

Enter your comments in the space provided befow:

Your opinions and comments are very valuable to us in a constant effort to improve our products, services and whatever else need be addressed. Submit this survey and we will send you a special gift just to thank you for helping us. While supplies last. Gifts include: business card holders, portfolios with calculator, pockets and paper or computers bags. Limited time offer. While supplies last.