Questionnaire

Brief information on your company (at will):
Name:
Сity:
Reference volume of all bought positions your company::
under 500 000 roubles.  500000 – 1 000 000 roubles.  1 000 000 – 3 000 000 roubles.  more 3 000 000 roubles.
What is the most important for you at a choice of the supplier of production? (Number on importance degree)
Price:	12345678910
Quality:	12345678910
Reliability of the supplier:	12345678910
Territorial affinity:	12345678910
Old communications:	12345678910
Image of the supplier:	12345678910
Other:
Whether are you the consumer of our production?
yes  No  Assume  In the past
How long you cooperate with us?
under 1 year  1-2 year  3-5 year  more 5 year
Estimate level of cooperation with our enterprise: («0» - no answer, «1» - Unsatisfactory estimation, «2» - Average estimation, «3» - As much as possible positive estimation)
№ Question Degree of satisfaction cooperation with our enterprise Degree of satisfaction cooperation with our competitors Your wishes and remarks 1 Quality of delivered production 1.1 Whether there corresponds quality of delivered production to the coordinated requirements (conditions of contracts)?  1  2  3  1  2  3 1.2 How long work is spent on yours inquiry, remark, claim, reclamation?  1  2  3  1  2  3 2 Delivery conditions  1  2  3  1  2  3 2.1 Whether production deliveries are in due time carried out?  1  2  3  1  2  3 2.2 Whether you are satisfied by conditions of shipment and production transportation?  1  2  3  1  2  3 5 service  1  2  3  1  2  3 5.1 Availability of the information on the enterprise  1  2  3  1  2  3 5.2 Timeliness of informing on any questions  1  2  3  1  2  3 5.3 Competence of the personnel  1  2  3  1  2  3 5.4 Quality of preselling preparation  1  2  3  1  2  3 5.5 Quality of starting-up and adjustment works  1  2  3  1  2  3 6 Price policy  1  2  3  1  2  3 6.1 Granting of delays of payment  1  2  3  1  2  3 6.2 Competitive price  1  2  3  1  2  3
That, in your opinion, would allow to increase volume of purchases in our company:
From what sources you receive the information on our organisation?
Specialised editions  Mass media  Internet  Conferences, exhibitions, and etc  consumer / Suppliers of given production  Other
Your offers on improvement of our work with consumers?
About itself:
Last name / first name / patronymic:
Post:
E-mail:
Phone/fax:

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