Customer Feedback

As a part of our on going commitment to customer satisfaction, we are asking for feedback from our customers. Please take a minute to fill out this short questionnaire.

* = Required

Name *

Address *

Company

City *

Phone *

State / Province *

Fax

Zip *

Email *

Country

What are you company’s annual screw conveyor sales?

$0.00 - $50,000

$50,001 - $100,000

$100,001 - $200,000

$200,000 - OVER

Who are your current suppliers:

Please tell us how we rank in the following areas

	Very Poor	Poor	Average	Above Avg	Excellent
Quality	1	2	3	4	5
Delivery	1	2	3	4	5
Reponse Time	1	2	3	4	5
Price	1	2	3	4	5
Recommendation	1	2	3	4	5

Comments or Questions *