Survey Web Form

Please tell us about your experience.

Date of Survey*

Company Name*

How satisfied were you with the quality provide?*

5 - Very Satisfied

4 - Satisfied

3 - Neutral

2 - Dissatisfied

1 - Very Dissatisfied

How satisfied were you with our delivery time?*

5 - Very Satisfied

4 - Satisfied

3 - Neutral

2 - Unsatisfied

1 - Very Unsatisfied

How likely are you to refer others to Heritage?

Very Likely

Likely

Not Likely

How is the communication with Heritage?

Prompt

Neutral

Lacking

Additional Comments

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