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Customer Satisfaction Survey

CAIRE Products are manufactured with pride by our employees. In order to better serve your needs, we ask that this survey be completed by the person who is responsible for the purchase of medical oxygen equipment within your company. Thank you.
Name:
Company:
Email:
   
1. Was the new container purchased for:
  Replacement   New Patient   New Service
   
2. How did you become aware of CAIRE products:
  Advertisement  Sales Representative  Trade Show  Colleague
   
3. How important are these features:
 
Very Important Somewhat Important Not Important
Quality of Product
1 2 3 4 5
CAIRE Reputation
1 2 3 4 5
Price
1 2 3 4 5
Warranty
1 2 3 4 5
Unique Features
1 2 3 4 5
Customer Service
1 2 3 4 5
Shipping
1 2 3 4 5
 
How satisfied are you with your local CAIRE representative:
Very Satisfied Somewhat Satisfied  Not Very Satisfied
 
  Additional Comments
 

 
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