Your browser does not support javascript. This is required for using the requested form.
Customer Survey Form
I interact with Swagelok Alabama in the following area(s) *
Date Submitted
*
mm/dd/yyyy
Your Company Name
*
Your Name
*
Your Job Title
*
Your Location
*
Your Phone Number
*
Name of Your Sales Representative
*
I interact with Swagelok Alabama | Central & South
Florida | West Tennessee in the following area(s)
*
Quotes
Orders
Invoices
(More than one choice may be selected)
QUOTES
How did you submit your quote request?
*
How satisfied are you that your quote was returned in a timely manner?
*
1 Not at all Satisfied
2 Slightly Satisfied
3 Satisfied
4 Very Satisfied
5 Completely Satisfied
N/A
How helpful were we in finding product
or service solutions for your
requirements?
*
1 Not at all Helpful
2 Slightly Helpful
3 Helpful
4 Very Helpful
5 Extremely Helpful
N/A
How well did the lead-times
quoted meet your requirements?
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
How would you rate the overall customer
service quality?
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
How likely would you be to request a quote
the same way from Swagelok Alabama | Central
& South Florida | West Tennessee again?
*
1 Not Likely
2 Slightly Likely
3 Likely
4 Very Likely
5 Completely Likely
N/A
ORDERS
How satisfied are you that you received your order confirmation in a timely manner?
*
1 Not at all Satisfied
2 Slightly Satisfied
3 Satisfied
4 Very Satisfied
5 Completely Satisfied
N/A
How would you rate the accuracy of the order confirmation?
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
How helpful were we in finding product or
service solutions for your requirements?
*
1 Not at all Helpful
2 Slightly Helpful
3 Helpful
4 Very Helpful
5 Extremely Helpful
N/A
If you received assistance from a Customer Service
Representative or Sales Representative, please rate
your experience.
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
Were any problems encountered with your order?
*
Yes
No
How would you rate the handling of the problems?
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
How likely would you be to place an order
with Swagelok Alabama | Central & South
Florida | West Tennessee again?
*
1 Not Likely
2 Slightly Likely
3 Likely
4 Very Likely
5 Completely Likely
N/A
INVOICES
How satisfied are you that you received your invoice in a timely manner?
*
1 Not at all Satisfied
2 Slightly Satisfied
3 Satisfied
4 Very Satisfied
5 Completely Satisfied
N/A
How was your invoice delivered?
*
Did you know we offer email and EDI options?
*
Yes
No
If you received assistance from Accounts
Receivable, please rate your experience.
*
1 Poor
2 Fair
3 Good
4 Very Good
5 Excellent
N/A
Was your invoice correct?
*
Yes
No
Please share additional comments and thoughts with us. Your feedback is very valuable.
*
=
Input is required