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VIP Lubber Company   Lubber and Plastic Products   375 S. Cypress Street   La Habra, CA 12345

Call us at (800) 415-4VIP

Your input in this short survey will be instrumental in our mission to continually improve our product and service to your company while remaining competitive in the market place. Thank you for your participation.
Please select the answer for each question and provide any additional comments:
1. How would you rate our ability to ship quality product? Excellent Good Average Poor Very Poor Comments:   2. How would you rate our products consistency? Excellent Good Average Poor Very Poor Comments:   3. How would you rate our pricing and terms? Excellent Good Average Poor Very Poor Comments:   4. How would you rate our timely response to requests and inquiries? Excellent Good Average Poor Very Poor Comments:   5. How would you rate our product delivery lead times? Excellent Good Average Poor Very Poor Comments:   6. How would you rate the knowledge of our sales personnel? Excellent Good Average Poor Very Poor Comments:   7. How would you rate the performance of product deliveries to promise dates? Excellent Good Average Poor Very Poor Comments:   8. How would you rate our performance in handling your technical questions / issues? Excellent Good Average Poor Very Poor Comments:   9. In overall performance, compared to other manufacturers of rubber and plastic products how would you rate VIP Lubber Co.? Excellent Good Average Poor Very Poor Comments:
Please rate the following in level of importance:
Very Important Important No Opinion Of Little Importance Unimportant 1. Requesting a quote on-line 2. Viewing order status on-line. 3. Notification of shipment via email.
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Form No. VIP-116	Rev. N/C