Survey

Your Name*

First Last

Company Name*

How satisfied or dissatisfied are you with CUSI?*

Very Satisfied	Somewhat Satisfied	Somewhat Dissatisfied	Very Dissatisfied

How well do our products meet your needs?

Extremely Well	Very Well	Somewhat Well	Not Well

How responsive have we been to your questions or concerns?

Extremely Responsive	Very Responsive	Somewhat Responsive	Not Responsive

How would you rate the quality of your technical support experiences?

Very Positive	Somewhat Positive	Somewhat Negative	Very Negative

Would you recommend our products & services?*

Yes! Product and Services	Products Only	Services Only	Neither

Are there any projects you are planning in 2017 that CUSI can help with?

Do you have any other comments or feedback that you would like to add?

(Positive comments here may be used in CUSI Marketing Material)

Please have someone contact me