SterilMed Customer Survey
1.Contact Information
Thank you for your interest in helping SterilMed, better understand the quality of our performance for you, our customer.

SterilMed services used: (check all that apply)

Flexible

Rigid

Surgical Instrumentation

Video

Power Equipment

Product Sales

 Account Name: 


Contact Name: 
Title: 
Department: 
Address: 
Phone: 
E-mail: 
City/State: 
2. Rating Clarification
Each rating question is composed of two parts:
Importance Rating:
This is the level of importance you place on this category.
1 = Not Important
2 = Somewhat Important
3 = Important
4 = Very Important
5 = Not Applicable		 Satisfaction Rating:
This is the level of satisfaction you place on this category.
1 = Not Satisfied
2 = Somewhat Satisfied
3 = Satisfied
4 = Completely Satisfied
5 = Not Applicable
1. Availability of loaners. 1 2 3 4 5
  Importance
  Satisfaction
Comments
2. Quality of loaners. 1 2 3 4 5
  Importance
  Satisfaction
Comments
3. Understandable packing list and description of work performed. 1 2 3 4 5
  Importance
  Satisfaction
Comments
4. Understandable estimate and description of work performed. 1 2 3 4 5
  Importance
  Satisfaction
Comments
5. Estimate timeliness. 1 2 3 4 5
  Importance
  Satisfaction
Comments
6. Sales representative product knowledge. 1 2 3 4 5
  Importance
  Satisfaction
Comments
7. Direct sales representative courtesy and attentiveness. 1 2 3 4 5
  Importance
  Satisfaction
Comments
8. Repair customer service representative product knowledge. 1 2 3 4 5
  Importance
  Satisfaction
Comments
9. Customer service representative courtesy and attentiveness. 1 2 3 4 5
  Importance
  Satisfaction
Comments
10. Handling of warranties and complaints. 1 2 3 4 5
  Importance
  Satisfaction
Comments
11. Quality of work performed. 1 2 3 4 5
  Importance
  Satisfaction
Comments
12. Timeliness of repair turnaround. 1 2 3 4 5
  Importance
  Satisfaction
Comments
  
 
SterilMed:Reprocessing, Repair and Refurbishment of Medical Devices, Equipment and Instruments