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To Our Valued Customer:

With our commitment to continuous improvement we would like to ask you to offer some feedback on a few items we feel are important to providing the goods and services that meet or exceed your expectations. Please take a moment to complete the following survey and submit your response.
Responsiveness Outstanding Exceeds
Requirements		 Meets
Requirements		 Below
Requirements		 N/A
Delivery Outstanding Exceeds
Requirements		 Meets
Requirements		 Below
Requirements		 N/A
Quality Outstanding Exceeds
Requirements		 Meets
Requirements		 Below
Requirements		 N/A
Satisfaction Outstanding Exceeds
Requirements		 Meets
Requirements		 Below
Requirements		 N/A
Overall
Is there a person in our organization
you would like to recognize?		 Your Name: (optional)
Person:
Additional Comments:

Please be patient and press the submit button only once.
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