What is your overall satisfaction rating with our company?

How likely are you to recommend our products to a friend or colleague?

Please rate your level of satisfaction with your sales representative in the following areas:

Very

Satisfied

Responsiveness

Somewhat

Satisfied

Neither Satisfied Nor Dissatisfied

Somewhat

Dissatisfied

Very Dissatisfied

Professionalism

Understanding of my needs

How did you find out about Axicon?

Internet

Resellers

Recommendations

Trade Shows

Magazines

Did you find our Marketing material useful?

Somewhat

Useful

Neither useful Nor Un-useful

Somewhat

Un-useful

Very

Un-useful

Very

Useful

Do you have any additional comments about how we can improve your satisfaction with our products and services?

May we contact you about any of your responses?

Yes

No

Contact information if applicable:

Other

Other