Survey
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*
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Email
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How likely are you to recommend safeRack products and services to a colleague?
Not at all likely
Extremely Likely
1
2
3
4
5
6
7
8
9
10
Please tell us the reason for the score?
Complete Survey and Get a Hat
To show our appreciation for completing the survey, we’ll send you a SafeRack hat as a gift.
How likely are you to purchase from SafeRack in the next 12 months?
Extremely unlikely
Somewhat unlikely
Somewhat likely
Extremely likely
What can we do to improve our products and services?
How satisfied are you that your sales representative understood your business needs?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
How satisfied are you with the quoting process?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
How satisfied are you with our installation services?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
How satisfied are you with our billing department?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
How satisfied are you with the delivery of our product?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
Overall how satisfied are you with our products?
Extremely Dissatisfied
Dissatisfied
Satisfied
Extremely Satisfied
Communication
Receive email updates and notices
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Promo Hat
Would you like a SafeRack hat?
Yes, Please!
No, Thank You
*Offer limited to the continental United States. To be eligible for the free hat, you must be a SafeRack customer and have purchased products or services from SafeRack. Limit one hat per customer. Actual hat style and color me be different than the picture.
Name
First
Last
Shipping Address for Hat
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
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Hidden
promo=yes [display hat] key=admin [display hidden admin fields for testing] key=orange [prevent spam, for won’t submit if not orange]
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Promo
yes
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How likely – from email body
This value comes from body of email
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First Name
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Last Name
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Company Name
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Email
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Products
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Sale
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Sales Rep
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CSR
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Spam
yes
admin
orange
