Email:
First Name:
Last Name:
Daytime Phone:
Evening Phone:
Quality of Product:
Excellent
Good
Fair
Poor
Expected Value of Money Spent:
Excellent
Good
Fair
Poor
Customer Service:
Excellent
Good
Fair
Poor
Compared to Similar Suppliers:
Excellent
Good
Fair
Poor
Admistrative Order / Invoice Accuracy:
Excellent
Good
Fair
Poor
Overall Satisfaction:
Excellent
Good
Fair
Poor
Likeliness to Continue to Order From United Industries:
Excellent
Good
Fair
Poor
Comments: