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Thank you for your feedback. As a valued customer, we will continually strive to ensure
the highest qualilty of our products and services.

Your Name:
Company Name:
Purchase Order Number:
Email Address:
Phone Number:
Was your shipment received on time?	Yes No
Was your shipment received correctly?	Yes No
Was the packinging of your shipment adequate?	Yes No
Were you pleased with the overall appearance of the packaging?	Yes No
Will you order from Daily Thermetrics in the future?	Yes No
How would your rate your overall satisfaction?(5 = Excellent)?	1 2 3 4 5
Your comments: