Customer Survey Form
  1. Customer Name(*)
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  2. Contact Name
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  3. Phone(*)
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  4. Email(*)
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  5. Address
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  6. City
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  7. Customer Service Representative
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  8. Equipment Type's in location
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  9. On a scale of 1-10 (10 being excellent), how would you rate our SERVICE?
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  10. On a scale of 1-10 (10 being excellent), how would you rate our PRODUCTS?
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  11. If you wanted to improve on anything, what would it be
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  12. Are there any services and/or products that we could have our representative call you about?
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  13. Do you have a copy of our menu?
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  14. In reviewing your office coffee service, what factors would you consider important?
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  15. Is there an organization or office that you would like to refer us to?
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