Thank you for doing business with Virginia Abrasives Corporation. Please help us to serve you better by filling out the following survey. A survey respondent will be selected weekly to receive a FREE $15.00 gift.

Please enter your E-mail: 

Please use this scale in responding to each of the following questions:

 Rating Scale:              10………9………8………7…….…6………5………4………3………2……....1
                    Highly Recommend	      Might Recommend	    Would not Recommend

1. How likely would you be to recommend the quality/performance of the products you purchase
10   9   8   7   6   5   4   3   2   1  

Comments:

2. How likely would you be to recommend the quality of service provided by our employees
10   9   8   7   6   5   4   3   2   1  

Comments:

3. How likely would you be to recommend the pricing or promotion of our products
10   9   8   7   6   5   4   3   2   1  

Comments:

4. How likely would you be to recommend the delivery of our shipments (speed and accuracy)
10   9   8   7   6   5   4   3   2   1  

Comments:

5. How likely would you be to recommend the sales representative that calls on you
10   9   8   7   6   5   4   3   2   1  

Comments:

6. How likely would you be to recommend Virginia Abrasives as a supplier
10   9   8   7   6   5   4   3   2   1  

Comments:

7. Rank each of the following factors in importance to you in deciding who to purchase abrasives from. Use 1 through 5, using each number once, with 1 being the most important factor, and 5 being the least important factor.

Product quality/performance VA Customer Service Sales Rep Price/Promotions Free Freight/No Minimum/2-3 day Delivery

8. Are you using another abrasive supplier for some of your product needs (sandpaper belts, rolls, discs, screens/bonded abrasive blades/diamond blades, for example)?

YesNo

If yes:

What Products:

What vendor:

Why Vendor:

9. Please tell us the #1 reason that you do business with Virginia Abrasives.

Do you perform the purchasing function or make decisions on which products to purchase?

YesNo

Do you actively sell the products surveyed?

YesNo

Do we have your permission to send you business correspondence via fax?

YesNo

Special fax instructions, if applicable

If we have your permission to correspond with you via email, please provide your email address below:

Thank you for your feedback. Look for your free T-Shirt in your next order. Please fax the completed form to us, toll-free at: 800-422-5336. Shirt size:

XXLXLL

Name to send T-shirt to: