| Your Contact Information |
| Fields marked with as asterisk are required. |
| Company / Customer Name |
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| Site Name / Division |
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| Your Name |
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| City |
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| State/Province |
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| Phone |
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| * Email |
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| Survey |
| Please answer the following questions to the best of your ability: |
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Were our Office Personnel: Courteous ? Knowledgeable? Professional? |
Yes / No |
How often do you purchase from STRAN? Only once Two to five times before Over five times |
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| How long have you been a STRAN customer? |
<1 Yr 1-2 Yrs 3-5 Yrs 5+ Yrs |
| Please rate from 1(poor) to 5(excellent) the Service from the following departments you may have dealt with at STRAN: |
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| Shipping: |
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| Engineering: |
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| Quality: |
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| Any Comments would be appreciated |
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| Did you find our website to be helpful? |
Yes No |
| If no, please explain how we could make it better: |
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| Did your last order come in as expected? |
Yes No |
| Date of last requested delivery: |
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| P.O. Of this delivery (Optional) |
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| Was it on time? |
Yes No |
| If no, how late was it? |
Within A Week 2 Weeks 1 Month |
| How would you rate the quality of the product you received? |
Excellent Good Sub-Par |
| If Sub-Par, please tell us of any issues or problems: |
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