Customer Satisfaction Survey

1. Rating

   1	2	3	4	5	N/A

2. Comments

1. Rating

   1	2	3	4	5	N/A

2. Comments

1. Rating

   1	2	3	4	5	N/A

2. Comments

1. Rating

   1	2	3	4	5	N/A

2. Comments

1. Rating

   1	2	3	4	5	N/A

2. Comments

1. Rating

   1	2	3	4	5

2. When do you plan to purchase another conveyor?

   	Less than a Month
   	1-2 Months
   	2-6 Months
   	More than 6 Months

3. Would you recommend QC Industries to a colleague?

   Yes	No

4. Would you like a QC Industries representative to contact you?

   Yes	No

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7. Address Line 2
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