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Office
Unic C2, 16 Mars Road
Lane Cove NSW 2066
PO Box 433
Lane Cove NSW 1595
Australia

Telephone: +612 9490 6200
Facsimile 1: +612 9490 6298
Facsimile 2: +612 9490 6299
Email: info@medind.com.au
Toll Free: 1800 675 905

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Customer Feedback Form
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Medical Industries Australia. is always looking for ways to improve the quality of its services and products. Please take a few minutes to complete the following questionnaire. Your comments and suggestions will be used to improve processes and respond to your future requests for service.

Tell us about yourself:
Date:
Postition:
Contact Name:
Company Name:
Company Address:
Your Email:
Phone:
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Product and Service Feedback:

Customer Service Representative - knowledgeable and easy to understand?
Customer Service Representative - able to handle your query/order as expected?
Sales staff - efficient in responding to your requirements?
Delivery time met your expectations?
Quality of the product delivered.
If applicable, satisfaction with the setup of the product on delivery?
If applicable, provision of all relevant documentation (user manual, Instruction sheet, warranty) and briefing along with the product?
If applicable, promptness with regard to your complaint?


Individual Product Feedback:

Feedback Type:
Which product is your feedback about?
What did you particularly like about the product?
What did you particularly dislike about the product?
Any other products you would like to be contacted about?
Would you like to be contacted about our new product range?
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