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					                             5400 Dunham Road, Maple Heights, OH 44137, U.S.A.
                             Phone: 216 / 662 - 8484, FAX: 216 / 662 - 2911
                             sales@ohiomagnetics.com; www.ohiomagnetics.com

Customer Satisfaction Survey and Feedback Form
We Appreciate Your Business and Your Comments. Please Help Us to Help Serve You Better!
For the best response to YOUR feedback and comments, please complete all requested fields,
including contact information. PLEASE SEND THE COMPLETED FORM TO US VIA FAX, MAIL
OR AS A SAVED EMAIL ATTACHMENT.

On a scale of 1 to 5, please RATE our products and services.
  1. Not Satisfied -- Definitely requires improvement.
  2. Somewhat Satisfied -- Room for improvement; Below average when compared to competitors.
  3. Satisfied -- Performs as expected; On par with competitors.
  4. Very Satisfied -- Solid performance / value; Better than most competitors.
  5. Completely Satisfied -- Exceeds expectations; Far better than competitors.

1. How satisfied are you with the performance of the products purchased from OHIO/Stearns?

              disappointed       1         2          3         4         5      completely satisfied


2. How satisfied are you with the value (total cost of ownership) of the products purchased from
OHIO/Stearns?

              disappointed       1         2          3         4         5      completely satisfied


3. How satisfied are you with the knowledge of OHIO/Stearns' sales and engineering staff?

              disappointed       1         2          3         4         5      completely satisfied


4. How satisfied are you with the lead times of products purchased from OHIO/Stearns?

              disappointed       1         2          3         4         5      completely satisfied


5. How satisfied are you with the quality of the products purchased from OHIO/Stearns?

              disappointed       1         2          3         4         5      completely satisfied


6. How satisfied are you with the ease of doing business with OHIO/Stearns?

              disappointed       1         2          3         4         5      completely satisfied


7. How likely are you to purchase from or recommend OHIO/Stearns in the future?

               no chance!        1         2          3         4         5      without a doubt!




Page 1 of 3                                                                                 5/16/2012, 6:29 AM
                              5400 Dunham Road, Maple Heights, OH 44137, U.S.A.
                              Phone: 216 / 662 - 8484, FAX: 216 / 662 - 2911
                              sales@ohiomagnetics.com; www.ohiomagnetics.com

Customer Satisfaction Survey and Feedback Form
We Appreciate Your Business and Your Comments. Please Help Us to Help Serve You Better!
For the best response to YOUR feedback and comments, please complete all requested fields,
including contact information. PLEASE SEND THE COMPLETED FORM TO US VIA FAX, MAIL
OR AS A SAVED EMAIL ATTACHMENT.

Before completing, please read the instructions and complete list of Issues / Categories being surveyed.

The following section will allow you to tell us:
  (1) what areas you focus on in selecting a supplier of similar products and services,
  (2) what you believe OHIO/Stearns does best, and
  (3) what you believe OHIO/Stearns needs to most focus improvement efforts upon.

1. Brand Reputation                                          13. Order Acknowledgement
2. Breadth of Product Mix / Solutions                        14. Order Fulfillment
3. Communication Types (voicemail, fax, email)               15. Product Appearance
4. Competitive Pricing                                       16. Product Performance
5. Complaint Handling                                        17. Product Value (total cost of ownership)
6. Emergency Assistance (parts & repair)                     18. Promise Dates (accuracy)
7. Field Rep / Sales Force Contact                           19. Request for Quotations (RFQ)
8. Help with Application or Product Selection                20. Response to Messages
9. Invoice Information                                       21. Returned Goods / Warranty Handling
10. New Products                                             22. Safety Information
11. On-Line Systems (ordering, status checks)                23. Shipment Condition
12. On-Time Delivery                                         24. Technical Information
                                                             25. Technical Support / Service Handling
26. OTHER (please describe in the text box below)




Using the numbered list (1-26) above, please identify five (5) key issues for each question below,
without repeating any listed numbers within any single question.

1. What are the most important categories used to evaluate your selection of suppliers?

              most critical                                                           important


2. In what areas does OHIO/Stearns excel or do very well?

              most critical                                                           important


3. In what areas should OHIO/Stearns focus its improvement efforts upon?

              most critical                                                           important




Page 2 of 3                                                                                       5/16/2012, 6:29 AM
                     5400 Dunham Road, Maple Heights, OH 44137, U.S.A.
                     Phone: 216 / 662 - 8484, FAX: 216 / 662 - 2911
                     sales@ohiomagnetics.com; www.ohiomagnetics.com

Customer Satisfaction Survey and Feedback Form
We Appreciate Your Business and Your Comments. Please Help Us to Help Serve You Better!
For the best response to YOUR feedback and comments, please complete all requested fields,
including contact information. PLEASE SEND THE COMPLETED FORM TO US VIA FAX, MAIL
OR AS A SAVED EMAIL ATTACHMENT.

Please help us to help you, by providing detailed comments on our performance:




Contact Information             Please have someone contact me!
                                                                                 check if yes
Name
Title
Company / Organization
Street Address
Street Address (cont.)
City
State or Province
Postal Code or ZIP Code
Country
Phone
Fax
E-mail
Most Recent Interaction                     mm/dd/yy
Type of Interaction             Order / Purchase
                                RFQ (Request-for-Quote) or Application Assistance
                                Non-RFQ Information Request (initial inquiry or follow-up)
                                Warranty / Service Call
                                Other:




Page 3 of 3                                                                                  5/16/2012, 6:29 AM

				
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