Customer Survey Form

To download, print and complete in this survey offline, please click here

Rating Guide:
A= Excellent - Exceeds expectations
B = Good -Meets expectations
C = Satisfactory But Needs Improvement
D = Poor, Does not meet expectations
N = Not Applicable
Goods/services were delivered as required (on-time)*:
Comments regarding the delivery:
The packaging was adequate and goods were received in good condition*:
Comments regarding the condition:
Supporting documentation was available when requested*:
(Product technical data, user manuals, material safety data sheets (MSDS), certificates of analysis, calibration certificates, test reports)
Comments regarding the documentation:
The products/equipment/application are working to your satisfaction*:
Comments regarding the product functionality:
How useful did you find our web site ( to be*:
Comments regarding the web site:
Inquiries/questions were responded to in a timely manner*:
Comments regarding the your inquiry response:
What suggestions could you provide that would assist us in improving our products or services?
Security Question*:
(Fields with an asterisk * are required)