Customer Feedback Form

Please complete this form to help us serve you better.

1.	What was the product or purpose of your inquiry?
2.	This is for a	Compliment Suggestion Concern/Problem
3.	What did we do well?
4.	What could we have done better?
5.	Grade Our Sales Staff 1-5 (5's are best!)

1 2 3 4 5

Please answer the following:
a. Did you receive courteous service?	Yes No
b. Were you satisfied with the information you recieved?	Yes No
c. Were you informed of the new products?	Yes No

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