Company Name: *required field
Contact Name: *required field
Title:
Phone Number: *required field
Fax Number: *required field
Country:
Email: *required field
P.O. Number :
Sales Order Number
TITAN CONTROLS PRODUCTS - Please select the proper product category(s):
Gas Detection Flame Detection Strobes and/or Beacons Additional Products
INDUSTRIAL SEGMENT - Please select one of the following:
Oil and Gas Drilling/Production/Transportation/Refining/Distribution Engineering/Consulting Company Power Generation Fire Protection/Safety Integrator Semiconductor Pharmaceutical/Food & Beverage Manufacturing Product/Service Distribution
COMPANY EVALUATION
QUOTATION / ORDERING PHASE
Was it easy to contact us?Yes No
Did you receive an adequate response in a timely manner?Yes No
Was the quotation sent on time and was it clear and complete?Yes No
Were all the terms and conditions clearly stipulated?Yes No
Was it easy to enter the order?Yes No
MANUFACTURING PHASE
Did you receive status notification throughout the manufacturing process?Yes No
Was the order shipped on time as promised?Yes No
SHIPPING/BILLING
Was the product packed adequately?Yes No
Was the shipping/export documentation correct?Yes No
Did you receive final notification of shipping details?Yes No
Did you receive instruction/operation manual with the product?Yes No
POST-SALE SERVICE
Have you required post-sale service for the product?Yes No
Was it easy to get the service support?Yes No
Was your request attended promptly?Yes No
PRODUCT EVALUATION
Did you receive what you ordered?Yes No
Are you satisfied with the quality of the product?Yes No
Are you using all the features the product offers?Yes No
Would you buy Xtreme Safety products again?Yes No
If not, Why?
COMMENTS/SUGGESTIONS
