Distek Customer Satisfaction Survey
RequiredRequired Question(s)
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com

Required 2.

How would you rate the overall quality of our products? (1 = poor, 5 = excellent)

      
      
Required 3.

How would you rate our sales process? (1 = poor, 5 = excellent)

      
      
Required 4.

How would you rate our service and support? (1 = poor, 5 = excellent)

      
      
Required 5.

How would you rate your overall experience? (1 = poor, 5 = excellent)

      
      
Required 6.

How likely are you to purchase from Distek again? (1 = not likely, 5 = very likely)

      
      
Required 7.

How likely are you to recommend Distek to a colleague? (1 = not likely, 5 = very likely)


      
      
8.

Please select the Distek Instruments you own. (Select all that apply)

 

Your feedback is very important.  Please provide any comments pertaining to these instruments in the additional comments section below.  

Model 2100
Model 2500
Evolution 6100 / 6300
symphony 7100
Evolution 4300
Opt-Diss 405 / 410
Model 3100
sensIR 3200
PrepEngine
ezfill 4500
VIP 4400
Other  
9.

We are listening!  Please provide any additional comments.  Thank you! 

 

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