Order Survey Questions

Name: *

Title: *

E-Mail: *

Phone: *

Hospital: *

Department: *

City: *

State: *

Zip: *

Have you purchased from InnerSpace before?: *

First time ordering from InnerSpace

Few (2-3) times in the past year

Order somewhat often (4-8) times in the past year

Order often (9+) times in the past year

What is your overall satisfaction with your experience with InnerSpace?: *

Very Satisfied

Satisfied

Unsatisfied

Overall, how satisfied are you with the product?: *

Very Satisfied

Satisfied

Unsatisfied

If you contacted an IS representative, were you satisfied with the service and turnaround time?: *

Unsatisfied, I waited too long for a response and I did not feel like a priority. I still have inquires that need to be answered.

Very Satisfied, The InnerSpace representative appeared knowledgeable and competent and resolved my inquires quickly

Extremely Satisfied, I had immediate resolution to inquires and I always felt like a priority

I did not have contact with a InnerSpace Representative

Did you receive your order in a timely fashion and in good condition?: *

Very Satisfied

Satisfied

Unsatisfied

How likely are you to recommend InnerSpace to others?: *

What recommendations do you have to improve our services or products?:

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