VIP Rubber Company

  Rubber and Plastic Products
  540 S. Cypress Street
  La Habra, CA 90631

Call us at (800) 722-4VIP

Customer Satisfaction Survey

Company Name:

Address:

Phone Number:

Customer Contact:

Please select the salesperson you are working with:

Please answer the following questions using a point system from 1 to 5:

Superior 1	Above average 2	Average 3	Unsatisfactory 4	Very Poor 5
How do you rate VIP's ability to deliver products in a timely manner?

How do you rate VIP's ability to deliver quality product?

How do you rate our timely response to your concerns and or inquiries?

What product does your company use? Check all that apply:

Rubber Extrusion
Plastic Extrusion
Mold
Calendered Sheeting
Splicing & Fabrication

Rank by importance:

	1	2	3
Quality
Price
Service

How can your outside salesman better meet your needs?

How can your inside salesman better meet your needs?

How did the product price compare to your expectations?

What could VIP do to improve customer service in the future?

Additional Comments:

Thank your for your feedback. We sincerely appreciate your honest opinion and will take your input in consideration while providing products and service in the future. Please feel free to contact your salesman for any questions or concerns regarding this survey.

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Form No. VIP-143

Rev. C 11-20-06

ADDRESS: 540 South Cypress Street, La Habra, California 90631
PHONES: (800) 722-4VIP, (562) 905-3456 , FAX:(562) 905-3460

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