Survey Form

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PCI Medical Survey

PCI medical is continually working on improvement in all areas. Please complete this survey and our President, Philip Coles, will give it his immediate attention. Thank you for taking the time to complete our survey form.

Items marked with an * are required

Company*
Customer Contact*
Name*
Email*

Please rate the following 5 items: 5 = Excellent 1 = Poor

Delivery Performance
Quality of Product
Order Completeness
PCI Representative
Please indicate how we rate compared with your other suppliers. Specific Issues or Comments?