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Feedback Form

Please tell us about your recent experience with American Fluoroseal Corporation. From initial contact to shipping/receiving to our products.  Did we meet your expectations? We would love to know what you think.  

Please take a few moments to complete this form and submit it.  Thank you so much for your feedback.

How did you contact our representative?	In Person  By Telephone  Internet  Through a Distributor  Other
Other method you contacted our representative:
Please indicate whether you (check all that apply):	Had placed an order  Had technical problems  Had a complaint
Sufficient information was available on the internet to solve my problem.	Strongly Agree  Agree  Neutral  Disagree  Strongly Disagree
Did our representative (select all that apply):	Quickly identify the problem  Appear knowledgeable and competent  Understand the cause of the problem  Help you understand the solution to the problem  Handle issues with courtesy  Handle issues with professionalism
About how long did it take to get this problem resolved?	Immediate Resolution  Less than a day  Between 2 and 3 days  Between 3 and 5 days  More than a week  The problem is still not resolved
How many times did you have to contact customer service before the problem was corrected?	Once  Twice  Three Times  More than Three Times
Overall, how satisfied are you with the customer service experience?	Very Satisfied  Somewhat Satisfied  Neutral  Somewhat Dissatisfied  Very Dissatisfied
If you were less than totally satisfied, what could have been done to serve you better?
Thinking about the product you are referring to, how satisfied are you with the product?	Very Poor  Somewhat Unsatisfactory  About Average  Very Satisfactory  Superior
Would you please take a few minutes to describe why you are not satisfied with the product?
In referring to the ordering process, how would you rank the process?	Very Poor  Somewhat Unsatisfactory  About Average  Very Satisfactory  Superior
How would you rate the quality of our products?	Very Poor  Somewhat Unsatisfactory  About Average  Very Satisfactory  Superior
Was there any damage to the shipment or packaging?	Yes  No
Was the shipment documentation complete and accurate?	Yes  No
Was the shipment complete?	Yes  No
How would you rate or packaging?	Very Poor  Somewhat Unsatisfactory  About Average  Very Satisfactory  Superior
Were your products received on time?	Yes  No
If there were any delays, how did we handle them?	Very Poor  Somewhat Unsatisfactory  About Average  Very Satisfactory  Superior
What is one thing we can do better?
Name one thing that irritates you?
What is the one thing we should never change?
If you would like us to contact you about your statements, please list your name and how you would like to be contacted such as by email address or phone number (optional):
Please type the letters and numbers shown in the image.