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Customer Satisfaction

Feedback Survey

Web Site Survey

How are We Doing?
This survey is used to collect critical feedback from our most important customer -- you.

By completing this short survey (required fields are bold), you help us to provide better products and services to you and other customers.

Thank you!

First name

Last name
Title
Company
Address
City
State
Zip Code
E-mail
Telephone
(example: 555-555-5555)
Fax
(example: 555-555-5555)

On a scale of 1 (the worst) to 5 (the best) please rate the following

  1 2 3 4 5
Performance of our products and services
Value of our products and services
Satisfaction with HCC overall
Satisfaction with your service representative
What comments or questions do you have?

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