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USERNAME:
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Customer Number:
Name:
1. Overall Performance
<--Poor
Excellent-->
Does not apply
Your Overall Satisfaction
1
2
3
4
5
Time taken from Order to Delivery
1
2
3
4
5
Adherence to delivery time
1
2
3
4
5
2. Performance of Customer Service
<--Poor
Excellent-->
Ability to contact a customer service representative
1
2
3
4
5
Attitude and Courtesy
1
2
3
4
5
Did we ask for all necessary information?
1
2
3
4
5
Did we give you a confirmation number
1
2
3
4
5
3. On-line Order Entry
<--Poor
Excellent-->
The site was easy to use
1
2
3
4
5
4. Delivery Service
<--Poor
Excellent-->
Was the courier on time?
1
2
3
4
5
Was the courier wearing a uniform?
1
2
3
4
5
Attitude of courier
1
2
3
4
5
5. Where did you hear about Urban Express?
Salesmen
Newspaper/Magazine
(please specify)
Internet
Previous Purchase
Corporate Purchasing Dept.
Direct Mail or Promotion
Other
(please specify)
6. Comments
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