Very Satisfied <--- 5 4 3 2 1 ---> Not Satisfied

1. Do you have other suppliers of like products supplied by Elixir? Yes No
2. Compared to your other suppliers, how would you rate Elixir's performance overall? 5 4 3 2 1
    
3. Please Explain:
4. Please rate the following elements:
   1.   5 4 3 2 1
      PRODUCT QUALITY
   2.   5 4 3 2 1
      ON TIME DELIVERIES
   3.   5 4 3 2 1
      QUOTATION PROCESS
   4.   5 4 3 2 1
      AVAILABILITY/COMMUNICATIONS
   5.   5 4 3 2 1
      COMPLAINT RESOLUTION
   6.   5 4 3 2 1
      VALUE/PRICE
   7.   5 4 3 2 1
      COMPETENCE/REPUTATION
   8.   5 4 3 2 1
      COURTEOUSY
5. Comments
6. Your Name
7. Your Company
8. Your Phone Number (optional)
9. Your Email (optional)
10.