Account Survey

After completion,click on the SUBMIT button..

* indicates required fields 
  *NAME:
  *TITLE/POSITION:
  *COMPANY NAME:
  *TELEPHONE NUMBER:
  *EMAIL ADDRESS:
  ACCOUNT NUMBER:
  *ACCOUNT MANAGER NAME:
  *Understood needs:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Meet objectives:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Adherence to schedule:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Responsiveness:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Quality, timeliness, accuracy:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Professionalism:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Communication:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Customer service:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *What could we do better?:
  *Overall performance:  Excellent
 Good
 Acceptable
 Fair
 Poor
  *Would you refer us?:  yes
 no
  *If not, please explain?:
  *Would you like a follow-up call?:  yes
 no

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