SR No.	Please let us know	Yes	No	Remarks, if any
1	Are our prices competitive?
2	Are our officers/engineers/executives accessible/available to you?
3	Are all our dealings transparent?
4	Are our product leaflets informative/helpful to help you know about our products?
5	Are we delivering as per purchase order, contract order?
6	Are you getting adequate technical support/information on the products purchased by you?
7	Are you satisfied the time taken to deliver the product?
8	Are you contented with our packing ?
9	Are we replying to our queries within twenty-four hours of your first inquiry?
10	Are you made aware of the new products introduced by us?
11	Are we prompt in our after sales service?
12	Are our sales engineer / executive capable enough to suggest you the best model.?
13	Did you recommend our products to anyone else? If yes, please write in remarks.
14	Name of the products used:
Any special remarks or Suggestions:
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City/State/PIN:
*Tel Nos. Office:
Country Code:		Area Code: Tel No.:
Mobile No.:
Fax (with STD code):
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*Email:

105, Vasan Udyog Bhavan, Sun Mill Compound, Opp Phoenix, Lower Parel (West), Mumbai � 400013. INDIA."| Phone:022-6618-9999 |

Email: info@medicainstrument.com

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