Customer Satisfaction Survey

1. How many years have you done business with I-MED Pharma Inc.?

2. Please rate your requirements from your suppliers (with 1 being most important and 5 being the least)

3. In your opnion, which of your manufacturers or distributors rates highest with regards to service, quality and pricing?

Ophthalmic Surgical Supplies
Dry Eye Solutions
Refractive Surgery Supplies

4. When submitting quotes, which format do you prefer?

5. How long has it been since you visited the I-MED Pharma Inc. website?

6. Please rate your satisfaction with I-MED Pharma Inc. (with 1 being very satisfied and 5 being not satisfied)

7. Please rate your satisfaction with I-MED Pharma Inc.'s products (with 1 being very satisfied and 5 being not satisfied)

Product Name

8. Does your sales representative keep you up to date on products and services offered by I-MED Pharma Inc.?

	Yes
	No

9. Is techincal support important to you?

10. Is local inventory important to you?

	Yes
	No

11. Please rate our personeel by the following criteria (with 1 being very satisfied and 5 being not satisfied)

	1	2	3	4	5
Courteous and respectful demeanor
Accuracy in price quoting
Level of product knowledge
Making product recommendations
Anticipating your needs
Meeting your expectations
Response time on issues and questions
Problem solving ability
Accessibility

12. Is there anything we can do to become a more valuable supplier to you?

13. Contact Information