Dear Valued Customer,

Thank you for participating in EMS’ annual customer survey. We are asking about your recent experience (last six months) with EMS products. Please help us to better serve you by completing this survey.

Customer Name *	Country *
	Select Country USA Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chile People's Rep. of China Christmas Island Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Germany Georgia Ghana Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kyrgyzstan Kuwait Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Marshall Islands Malta Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Virgin Islands Vietnam Western Sahara Yemen Zambia Zimbabwe Other
Company *	State
Email Address *	City
EMS products used by your company *

Regarding the product deliveries you received during the last 3-month period, how would you rate us on the following categories?

Category	Scale
1. Product Quality	1 = Poor2 = Fair3 = Good4 = Excellent
2. Customer Service	1 = Poor2 = Fair3 = Good4 = Excellent
3. Technical Support	1 = Poor2 = Fair3 = Good4 = Excellent
4. Sales Support	1 = Poor2 = Fair3 = Good4 = Excellent
5. On Time Delivery	1 = Poor2 = Fair3 = Good4 = Excellent
6. Product Documentation	1 = Poor2 = Fair3 = Good4 = Excellent
7. Website	1 = Poor2 = Fair3 = Good4 = Excellent
Summary
Average Scale:

* required