Customer Feedback Form

Name(Required)

First Last

Email(Required)

Date(Required)

Rep(Required)

Your GSM Representative

Site(Required)

Your business or organisation

Review Comments(Required)

Please note: Any information will be treated with the strictest of confidence. The company representative completing this short survey is not allowed to request clarification on your answers to prevent self-censorship, however, in the event of a potentially poor mark, you may be contacted by a manager to review the reasons and discuss your feedback in order to improve our service to you.

PRODUCT FEEDBACK

How often do you use GS Medical products?(Required)

Which of our products do you use most?(Required)

Question 1: Please rate the following features overall of our products from 1 to 5, with 1 being the lowest and 5 being the highest:

Quality(Required)

Performance(Required)

Value(Required)

After Purchase Service(Required)

Likely to use again(Required)

Question 2: Please state how much you agree with the following sentence; 1 is strongly disagree and 5 is strongly agree.

(a) The labelling of GSM products is clear, concise and meets all regulatory requirements.(Required)

(b) The quality of GSM products is consistently excellent with very few problems detected.(Required)

If the answers to Questions 2 (a) and (b) is 3 or lower, please elaborate as to why in the space provided below.

Reason for answer 2(a)

Reason for answer 2(b)

STAFF FEEDBACK

(a) GS Medical's company representatives adhere to a professional level of conduct ; 1 is strongly disagree and 5 is strongly agree.(Required)

(b) GS Medical's company representatives are helpful, knowledgable and competent; 1 is strongly disagree and 5 is strongly agree.(Required)

(c) GS Medical's company representatives respond to my inquiries in a timely manner; 1 is strongly disagree and 5 is strongly agree.(Required)

Feedback for improvement - what do we do well?(Required)

Feedback for improvement - what can we do better?(Required)

GS Medical

Full Service Medical Sales
& Distribution.

Ireland

24/25 Grattan Business Park,
Clonshaugh Business
& Technology Park
Dublin 17, D17 TK25
T: +353 (0)1 823 0679
E: gsm@gsmedical.ie

UK

GS Medical Healthcare
Manchester Business Park,
3000 Aviator Way,
Manchester, M22 5TG, U.K
T: +44 (0)161 537 1289
E: info@gsmh.co.uk

PRODUCT FEEDBACK

STAFF FEEDBACK

GS Medical

Full Service Medical Sales & Distribution.

Ireland

UK

Full Service Medical Sales
& Distribution.