Simple PHP Form

Customer Feedback Dear Valued Customer We at ED Cal. Laboratory are continually striving to improve our performance to you in terms of Maintenance and Calibration Services. As part of this effort, we would be very pleased if you would take a few moments to fill out this survey form and either fax it to us on Riyadh F: 01 460 2195 or pass it to our Sales Coordinator . Your cooperation is much appreciated
Name:
Company
Date:
Email Address:
Job Order No. /Certificate No:
" How does our service ange compare to our competitors"	Poor Good Very Good Excellent
" How do you rate the accuracy of the information in our Certificate"	Poor Good Very Good Excellent
" How do you rate the accuracy of our calibration results "	Poor Good Very Good Excellent
" Deliveries of measuring Instruments - on ime performance"	Poor Good Very Good Excellent
"Service Realization Lead Times"	Poor Good Very Good Excellent
" Accuracy of Invoicing"	Poor Good Very Good Excellent
" How well does we deal with queries and complaints "	Poor Good Very Good Excellent
" How well our service compares with our competitors"	Poor Good Very Good Excellent

Customer Feedback