Satisfaction Survey September 2020
1.

Which products have you purchased from us in the last 12 months?

 

350 characters left.
2.

How did you learn about this product?

Internet/Website
Dental Trade Show
From Another Company
Marketing Materials
Dental Magazine
Colleague or Friend
3.
Would you recommend this product to others?
YES
NO
  • Comment:

  • 500 characters left.
4.
On a scale from 1-5 with 5 being the most satisfied, please rate us on the following areas:?

(1 = Least)
 
Customer Service
Quality of the Products and Services
Maintenance and Support
Price
Overall Satisfaction
5.
Is there anything we can do to improve our products and services?
 

350 characters left.
6.
Please enter the information indicated below including the address where we can send the free promotional item.

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
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

7.

Please select one below for your free promotional item.

Cuspid
Molar