Customer Satisfaction Survey

As outlined in our Quality Policy, achieving Customer Satisfaction is one of Clover Industries, Inc.’s goals. The feedback from your organization, as a valuable customer, is crucial for measuring and verification of customer satisfaction. We are confident that both our organizations will benefit from this survey. Considering the above, we ask that you kindly answer the following questions. Any additional comments you might have are appreciated.

Company Name:  Contact Name: 
Company Street Address:  Phone:   
Company City, State, Zip:  Email: 
   
Purchase Order Number: 
1.  How would you rate your overall Experience with Clover Industries? 
 Strongly Satisfied       Somewhat Satisfied       Neutral       Somewhat Unsatisfied       Strongly Unsatisfied
   
2.  Based upon your experience, please rate our Customer Service performance in the following areas:
   
             5                                    4                          3                            2                                      1
Strongly Satisfied        Somewhat Satisfied       Neutral       Somewhat Unsatisfied       Strongly Unsatisfied 
  Comments:

a.  Ease of contacting:
 5             4             3             2             1

  

b.  Promptness of response time:
 5             4             3             2             1

  

c.  Helpfulness of representative:
 5             4             3             2             1

  

d.  Friendliness of representative:
 5             4             3             2             1

  

e.  Product Knowledge:
 5             4             3             2             1

  

f.  Issue Resolution:
 5             4             3             2             1

  
   
3.  Using the scale below, please indicate how much you agree with the statements about Clover Industries, Inc.
   
             5                              4                       3                           2                                    1
Strongly Agree       Somewhat Agree       Neutral       Somewhat Disagree       Strongly Disagree 
  Comments:

a.  Adequate quote response time:
 5             4             3             2             1

b.  Competitive prices:
 5             4             3             2             1

c.  Acceptable lead time (from approval drawings to component delivery):
 5             4             3             2             1

d.  Delivered On-time:
 5             4             3             2             1

e.  Quality of product:
 5             4             3             2             1
   
4.  Did you have any problems with your order?  (from our first receipt of your quote request through delivery)
 Yes       No If Yes, please explain
Name of the Clover Sales Representative:
Were you satisfied with how our sales representative handled the problem?  Yes            No
If no, please explain how Clover Industries, Inc. could have performed better?
   
5.  What do you like most about working with Clover Industries, Inc.?
   
6.  What do you like least about working with Clover Industries, Inc.?
   
7.  Would you like Clover Industries, Inc. to provide additional information or support material with your order?  If so, please list the information that you would like to receive.
   
8.  Additional comments: