Field Service Survey

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Assurance Technologies, Inc.

1251 Humbracht Circle
Unit A
Bartlett, IL 60103

630-550-5000

Divisions of ATI:

Brencor® Gages

and

RIC
ROENTGEN INDUSTRIAL CORPORATION PRODUCTS

ATI Field Service Survey

In an effort to provide our customers with the best service possible, we rely on your feedback which is very important to us. Please complete the entire form (see our Privacy Policy).

Our scale is from 1 to 10 with 1 representing the poorest quality, 5 representing average quality and 10 the highest quality.

* Fields marked with an asterisk are required.

* Contact First Name:
* Contact Last Name:
* Company Name:
Company Street Address:
* City:
* State:
* ZIP Code:
Phone:
Fax:
* Email:
* The way in which the service call was set up and scheduled was:
* The service person's level of competence was:
* The level of courtesy displayed by the service person was:
* The efficient and complete manner in which the service work was performed was:
* The explanation supplied for all paperwork was:
* The likelihood that I would recommend ATI for service work is:
You can use this section to add any additional comments you may have regarding our service.

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