Survey End-User

Dear Customer, In order to improve the service we provide, we would like to receive your feedback concerning the following issues (4 = excellent, 1 = bad)

Product quality

Please rate the quality of the product you have purchased

1 2 3 4

Notes

Please rate the quality of the packaging and labeling

1 2 3 4

Notes

Shipping

Did we deliver within the lead time we promised?

Yes No

Did the goods arrive in good condition?

Yes No

Please name the distributor name whom you purchased from

Distributor Name

Distributor Location

Customer Service

Availability - please rate the service from the Distributor's office personnel

1 2 3 4

Notes

Availability - please rate the service from the Distributor's sales personnel

1 2 3 4

Notes

Our website: WWW.POLY-AG.COM

How satisfactory was the information on the website?

1 2 3 4

General:

Please note your general opinion

Sender details:

Company / Customer name

Name and title

Date:

Interested in receiving promotional material

Poly-Ag Corp. 2335 Siempre Viva CT

Tel: 1-619-661-9506

Fax: 1-619-661-9564

info@poly-ag.com

Fast conact us

Interested in receiving promotional material