CUSTOMER SATISFACTION SURVEY

Surmotech values the opinions of our Customers. We appreciate your time in completing this survey so the we can obtain information that will enable us to continually improve our process, relationship and service to you.

Personal Information
Fields marked with * are required fields. Please fill them!

*Company:
*Title:
Your Name:
Phone Number:

Survey Grading Key

1	2	3	4	5
Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied

Directions: Check the box at the right that corresponds to your response for each statement. Only one (1) response per statement.

Customer Service		1	2	3	4	5
1.	How satisfied are you with your ability to reach the person you need to talk with the 1st time you call?
2.	How satisfied are you with the promptness of our responses to you?
3.	How satisfied are you that we will provide the information you need?
4.	How satisfied are you with our quote response time?
5.	How satisfied are you with our Value Added Processes/Box Build?
6.	How satisfied are you with our overall problem resolution?
7.	How satisfied are you with our overall communication?
8.	How satisfied are you with our On-Time-Delivery?
9.	How satisfied are you with Surmotech's ability to provide product as needed when your schedule has unforeseen changes?
10.	How satisfied are you with Surmotech's Administration of your account (paperwork, payment terms etc.)?
11.	How satisfied are you that Surmotech's Web site provides sufficient information with regard to the company's capabilities and contacts?
12.	How satisfied are you with the overall Service that Surmotech is providing?
Technical Experience		1	2	3	4	5
1.	How satisfied are you with the level of Engineering support for your product?
2.	How satisfied are you with information and explanations that our Engineering staff provides to your technical questions?
Quality		1	2	3	4	5
1.	How satisfied are you with the overall Quality of the products Surmotech provides?
2.	How satisfied have you been with First Pass Yields?
3.	How satisfied are you with our "root cause" analysis?
4.	How satisfied have you been with Surmotech's RMA responsiveness?
5.	How satisfied have you been with Surmotech's Corrective Action responses?
Competitiveness		1	2	3	4	5
1.	How satisfied are you with Surmotech's pricing?
2.	How satisfied are you with Surmotech's efforts to keep up with the latest technology?
3.	How satisfied are you that Surmotech is the best choice for your outsourcing?
Additional Questions
1.	What method of contact do you use with us the most?Please Rank the choices below using 1 as Most Frequent to 4 as Infrequent.       - Telephone   - E-Mail - Fax - Other  Please indicate
2.	When issues arise that may affect delivery or quality Surmotech contacts you in advance:     Always late and have to expedite alternate resolutions.     Sometimes late limiting time to make alternate resolutions.     With sufficient time to make alternate resolutions.     Always with ample time to make alternate resolutions.
3.	What level of Engineering support do you rely on Surmotech to provide? Please Rank the choices below using 1 as most important to 5 as least important.       - PCB Design assistance   - Documentation & BOM Development   - Design for Manufacturing   - Fixture Development   - Test protocol and equipment
4.	Is Surmotech's ISO 9001/2000 Quality Mgmt. System and Registration an important consideration in doing business with your company?      Yes      No
5.	When do you plan to implement "Lead Free" components and process into your product?      No Plans to implement      Within 6 Months      Within 12-18 Months      No plans currently in process but expect to in the future.

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