Cancel this survey >> Customer Satisfaction Survey - 5 Quick Questions Question Title * Please provide your contact information. Name: Title: Organization: Customer Account Number (if known): Zip Code: Country: Phone: E-mail: Question Title * Question 1: Overall, how satisfied are you with our PRODUCTS? Extremely Satisfied Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Dissatisfied Extremely Dissatisfied N/A Question Title * Question 2: Overall, how satisfied are you with our SERVICE? Extremely Satisfied Satisfied Somewhat Satisfied Neutral Somewhat Dissatisfied Dissatisfied Extremely Dissatisfied N/A Question Title * Question 3: How likely are you to buy from us again? Very Likely Likely Somewhat Likely Neutral Somewhat Unlikely Unlikely Very Unlikely N/A Question Title * Question 4: How likely are you to recommend us to others? Very Likely Likely Somewhat Likely Neutral Somewhat Unlikely Unlikely Very Unlikely N/A Question Title * Question 5: How can we improve to better serve you? Please enter your comments or suggestions in the box below. Question Title * Do you grant PDC permission to use your name and comments for future marketing use? Yes No Submit response >>