Customer survey

Company
Name
Email address

Response time
1 2 3 4
Technical support
1 2 3 4
Product quality
1 2 3 4
Quality of service
1 2 3 4
Delivery time
1 2 3 4
On time delivery
1 2 3 4
Accessibility online data
1 2 3 4
Remarks
Anti-spam code