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Customer Survey
Lancetec is constantly striving to improve the quality of our products and services. With this in mind, we would appreciate your taking just a few minutes to respond to our survey questions. We thank you in advance for your valuable time.
 
A
B
C
     How do you rate the quality of our product?   
 
A
B
C
     How do you rate the reliability of our product?
 
A
B
C
     How do you rate our ontime delivery?            
 
A
B
C
     How do you rate our customer service?         
 
A
B
C
     What is your overall level of satisfaction?       
A= Outstanding     B=Satisfactory     C= Needs Improvement
     Would you like somebody to follow up?       
Yes
No


       If yes, please fill in the following information:
First Name*
Last Name *
Title*
Company*
Street Address
Address (cont.)
Postal Code *
City
State/Province
Zip/Postal Code
Country
Work Phone
Fax
E-mail
Comments
                                                   
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