Customer
(Purchaser) Information
*
indicates required field
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Contact
Person:
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*
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Title:
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Organization/Company:
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Mailing
Address:
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City:
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State/Province:
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Postal/Zip
Code:
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Country:
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Phone:
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Fax:
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E-Mail
Address:
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Our
organization is best described as:
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Level
of Service:
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Number
of ambulances operated:
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Product:
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Quantity:
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Lot
# or Serial # (enter
n/a if not applicable; i.e. there is no serial # on the BioHoop):
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*
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Company purchased from:
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Sales
Rep's Name:
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Date
of Purchase:
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Customer
Satisfaction Survey
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How did you learn about this product?
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How would you
rate your sales experience regarding the following items?
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The
salesperson's product knowledge and ability to answer your
questions
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The
salesperson's product knowledge of the competitor's product
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Explanation
of the product's features and benefits
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Explanation
of the product's cleaning and maintenance needs
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The
salesperson's explanation of the product's warranty
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| Would
you purchase another Hartwell Medical product from this salesperson/dealer?
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How important
are the following items in your purchasing decision?
(Please
rate 1 through 6 with 1 being the most important to you. Please
use all numbers 1 through 6. Do not use any one number more
than once.)
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Product
features and benefits
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Ease
of cleaning/disinfection
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Product
availability/delivery time
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Product
price
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Integrity
of the salesperson/dealer
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Warranty
Coverage
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After you
received this product...
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Did
the product arrive within the promised delivery time?
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Did
the product arrive undamaged?
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Were
the application guidelines easy to understand?
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Were
the cautions for use/safety instructions clear?
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Did
the product perform as you expected?
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If
you answered no to any of the questions, please give a brief
explanation:.
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Feel
free to write any additional comments. We sincerely appreciate
your assistance in helping us improve our products to meet
your needs.
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