Person Completing Survey:

Address:

City: State: Zip:

Phone: Fax:

Email:

Please score each question on a scale of 1-10; 1 being Poor; 10 being Excellent.

1. What is your preferred method of ordering?
Fax: 10 9 8 7 6 5 4 3 2 1 Phone: 10 9 8 7 6 5 4 3 2 1 Email: 10 9 8 7 6 5 4 3 2 1 Other: 10 9 8 7 6 5 4 3 2 1 (please explain)

Comments:

2. How would you rate the knowledge, courtesy, and level of Customer Service you receive from Green Leaf, Inc®? 10 9 8 7 6 5 4 3 2 1

3. How would you rate Green Leaf, Inc's® ability to process and ship your order in a timely fashion? 10 9 8 7 6 5 4 3 2 1

4. How would you rate the Quality of the items you receive from Green Leaf, Inc®? 10 9 8 7 6 5 4 3 2 1

5. How would you rate on a scale of 1-10, our catalog, in respect to:
Appearance: 10 9 8 7 6 5 4 3 2 1 Information: 10 9 8 7 6 5 4 3 2 1 Ease of Use: 10 9 8 7 6 5 4 3 2 1

6. How would you rate your overall satisfaction with Green Leaf, Inc®? 10 9 8 7 6 5 4 3 2 1

Comments: