Customer Survey

21st CPC Customer Satisfaction Survey

Date:
Customer:
Completed by:

Rating Scale: Please use the pull-down boxes to choose from the following ratings for each question below:

QUALITY

1. Products meet or exceed your expectations
2. Products are provided with appropriate documentation
3. Quality concerns are responded to promptly
4. Packaging / labeling of product is adequate

ORDER FULFILLMENT

1. Products are delivered on time
2. Shipments are made in the correct quantities
3. You are informed of delivery problems

PLANT and FACILITIES

1. Plant appears clean and efficient
2. Employee attitude is friendly and professional

GENERAL

1. Communications are friendly, efficient, helpful
2. Adequate response to quotation requests
3. Adequate response to engineering changes
4. Submission documentation meets your need

Additional comments:

We appreciate any suggestions you may have to improve our satisfaction rating with your company.

We are particularly interested in feedback pertaining to product and service provided to you this year. What did we do well, what might we have done better?

Thank you for your time and support.

Please contact Kathy if you have any questions. kdobie@21stcpc.com or

517-645-2695 x 105.

Send mail to cwright@21stcpc.com with questions or comments about this web site.

Copyright 2007 - 21st Century Plastics Corp. Last modified: 10/29/07