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Customer Feedback Form

To enable us to continue to improve our service to you, we would be grateful if you could spare the time to complete this form. We will make a £1 donation on your behalf to the NSPCC for each returned form. Thank you for your time and effort.

All mandatory fields are marked with an asterisk.

Hospital *

Department *

Contact Name *

Telephone *

Position *

e-Mail *

Product Ordered / Order No.

Did this order reach you on time?	Yes No

Please rate our services below:

Quality of Products *	Excellent Good Average Poor N/A

Delivery Times *	Excellent Good Average Poor N/A

Area Business Manager / Product Specialist *	Excellent Good Average Poor N/A

After Sales Service *	Excellent Good Average Poor N/A

Customer support / Telephone Response (office)	Excellent Good Average Poor N/A

Website (www.ukmedical.com) *	Excellent Good Average Poor N/A

Do you have any suggestions as to how we can improve the quality of our service or products?

Did you know that UK Medical offer products in the following areas?

Biopsy *	Yes No

Drainage *	Yes No

Cath lab *	Yes No

Obs and Gynae *	Yes No

Stenting *	Yes No

Surgery *	Yes No

Vertebroplasty *	Yes No

Any other comments?

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Customer Feedback Form