Customer Feedback Form

*Your name:

Company:

*Email:

Repair reference
(if applicable):

*How would you rate the overall level of service? (1-5):

Please select one... 1 - poor 2 - below average 3 - average 4 - above average 5 - excellent 0 - not observed

*Does the service meet your expectations?
(1-3):

Please select one... 1 - doesn't meet 2 - does meet 3 - exceeds 0 - not observed

*How do you rate our help desk? (1-5):

Please select one... 1 - poor 2 - below average 3 - average 4 - above average 5 - excellent 0 - not observed

*How do you rate the repair work? (1-5):

Please select one... 1 - poor 2 - below average 3 - average 4 - above average 5 - excellent 0 - not observed

*How do you rate our web site? (1-5):

Please select one... 1 - poor 2 - below average 3 - average 4 - above average 5 - excellent 0 - not observed

Comments. If you have
any additional comments, please enter them in the space provided: