CONTACT INFORMATION
Your Name:
Company name:
Street Address:
Address (cont):
City:
State:		Zip/Postal code:	Country:
Phone:		Fax:
E-mail:
Please give us your rating on job name/number or invoice number:

CLIENT SERVICE
	Excellent	Acceptable	Unacceptable
Phone Service:
Personal Service:
Courtesy:
Product Knowledge:
Advised of Cost/Payment terms:
Comments:
PRODUCT SERVICE
	Excellent	Acceptable	Unacceptable
Were your instructions followed?:
Product quality:
Packaging:
Comments:
DELIVERY SERVICE
	Excellent	Acceptable	Unacceptable
On time?:
Comments