CUSTOMER SURVEY FORM |
| Name: |
*required |
| Position: |
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| Email Address: |
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| Company: |
*required |
Rate From 1 to 5.
N/A = Not Applicable or do not want to Answer
1 = Needs Improvement .... 2 = Below Average .... 3 = Average .... 4
= Above Average .... 5 = Excellent |
| FUNCTIONAL PERFORMANCE |
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| 1. |
Overall, compared to their competitors, how would you rate the Vendor? |
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| 2. |
Compared to other alternatives, how would you rate their service? |
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| 3. |
Compared to other alternatives, how would you rate their quality? |
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Compared to other alternatives, how would you rate their price? |
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Compared to other alternatives, how would you rate their technology? |
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| 6. |
How would you rate vendor’s order taking? |
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| 7. |
How would you rate vendor’s confirmation process? |
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| 8. |
How would you rate the vendor on providing proactive communication regarding
changes, issues or problems. |
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| 9. |
How effective are they in providing other products and services? |
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| 10. |
Rate the vendor’s order performance: Orders arrive on time, accurately
and complete |
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| 11. |
How would you rate the vendor regarding adequacy of their production
lead times? |
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| 12. |
How would you rate the vendor regarding accuracy of invoicing? |
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Please provide us with any comment/suggestion or improvement ideas
for our Performance:
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| Customer Service |
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| 1. |
Rate the process for getting your question or issue resolved. |
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| 2. |
Rate how your phone call was transferred to the person who best could
answer your question. |
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Rate the response time for having your issues addressed. |
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| 4. |
Rate the telephone system and its effect on your experience. |
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| 5. |
Please enter the account representative you deal with the most and
will be rating.
Rate the vendor’s account representative in the following areas: |
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a |
The representative was very courteous. |
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b |
The representative handled my concerns promptly. |
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c |
The representative was very knowledgeable. |
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d |
The waiting time for having your issues addressed. |
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e |
The ability of the representative to solve problems. |
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f |
The representative’s understanding of your needs. |
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g |
The representative’s responsiveness. |
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h |
The representative’s professionalism. |
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i |
The performance of this rep. compared to your previous rep. |
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j |
The frequency of which you talk to your representative. |
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k |
The performance of the rep. today compared to his/her first introduction. |
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l |
The representative is acting in your best interest. |
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m |
The rep. is making a positive contribution to your organization. |
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n |
Your overall relationship with your representative. |
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| 6. |
Rate the vendors understanding of the service needs of your organization. |
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| 7. |
Rate the vendor regarding meeting deadlines and commitments on quotations
or prototype samples. |
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| 8. |
Rate the vendor’s attention to confirming orders within an acceptable
time frame. |
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Please provide us with any comment/suggestion
or improvement ideas for our Customer Service:
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Quality Department |
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| 1. |
Are you happy with the quality of the product? |
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| 2. |
Do you feel that non-conformances are dealt with in a timely manner
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| 3. |
Are you satisfied with the response from Elka when there is a quality
issue? |
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| 4. |
Are you satisfied with the corrective actions presented by Elka when
there is a non-conformance? |
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| 5. |
How would you rate the quality department at Elka compared to other
vendors? |
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Please provide us with any comment/suggestion
or improvement ideas for our Quality Department:
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Company Leadership |
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5 |
| 1. |
The vendor understands the issues that are most important to your company. |
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| 2. |
The vendor is acting on the issues that are most important to your company. |
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| 3. |
The level of service and products provided by the vendor is a cost
effective solution and supports your continuous
improvement initiatives.
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| 4. |
How well do the vendors adhere to the principles of trust, respect
and open communication. |
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Is the vendor keeping you with trends that affect your business? |
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| 6. |
Rate the skills and knowledge of the vendor’s personnel that
you have contact with. |
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| 7. |
Rate the vendor on being proactive regarding increasing and/or improving
their production capabilities to provide
better quality and service to their customers.
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| 8. |
Rate the vendor in accordance with pricing and perceived value received. |
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Please provide us with any comment/suggestion
or improvement ideas for our Company Leadership:
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Sales Representation |
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N/A |
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5 |
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Please enter the name of the Sales Representative you are familiar with: |
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| 1. |
Is it easy for you to reach our Sales Representative? |
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| 2. |
How would you rate response to calls to our Sales Rep.? |
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| 3. |
How would you rate callbacks from our Sales Rep.? |
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| 4. |
How would you rate our Quoting Procedures? |
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| 5. |
Are the Quotes easy to understand? |
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| 6. |
How would you rate the frequency of Sales Representation? |
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Please provide us with any comment/suggestion
or improvement ideas for our Sales Representation:
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Marketing |
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N/A |
1 |
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5 |
| 1. |
Have you ever visited our Web Site before? |
Yes
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No
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| 2. |
If you are looking for some information about the product on our Web
Site, is it easy to find it? |
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| 3. |
Do you use our catalogue? |
Yes
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No
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| 4. |
Overall, how would you rate our catalogue and/or price list? |
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| 5. |
How would you rate our catalogue and/or price list for finding the item
you need? |
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Please provide us with any comment/suggestion
or improvement ideas for our Marketing:
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What chararcteristics of Elka as a Vendor do
you appreciate most?
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In what ways do you feel Elka needs to improve
most?
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