C and R Asphalt Customer Satisfaction Survey Form

Services

Customer Satisfaction Survey

First Name:

Last Name:

Position:

Company:

Phone:

Fax:

Address:

City:

State:

Zip:

Email:

Web Site:

Alternate Phone:

Email:

1) How long have you been doing business with C & R Asphalt?

N/A 1 year or less 2-5 years 6-10 years 11-15 years 16+ years

2) Please rate the effectiveness of our Estimator (1=lowest rating, 5=Highest Rating) by selecting for each category. This information will be kept confidential from the representative.

Receptiveness and understanding of project requirements and the needs of your firm.

(low) 1 2 3 4 5 (high)

Presentation of C & R Asphalt's capabilities, products, service offerings and recognition.

(low) 1 2 3 4 5 (high)

Presentation of Bid Proposal and Project Strategy.

(low) 1 2 3 4 5 (high)

Willingness and ability to answer all of your questions.

(low) 1 2 3 4 5 (high)

Professional appearance.

(low) 1 2 3 4 5 (high)

Timeliness or response time from initial contact to bid presentation.

(low) 1 2 3 4 5 (high)

How many times after the representative submitted his quote did he call you to see if you had any questions?

Once Twice More

Overall, how did our estimator compare to other paving sales representatives?

C & R Asphalt	1 2 3 4 5
Other firms	1 2 3 4 5

Comments/Questions Regarding our Estimator?

3) What were the major factors in your decision to award the contract to C & R Asphalt?

Price	Yes No
C & R Asphalt's Reputation (Integrity)	Yes No
Superior Materials	Yes No
Warranty Terms	Yes No
C & R Asphalt's Location	Yes No
Project Schedule	Yes No
Billing Terms	Yes No
Other	Yes No

4) What were the major factors in your decision NOT to award the contract to C & R Asphalt?

Price	Yes No
C & Rose Asphalt's Reputation (Integrity)	Yes No
Materials	Yes No
Warranty Terms	Yes No
C & R Asphalt's Location	Yes No
Project Schedule	Yes No
Billing Terms	Yes No
Other	Yes No

5) If applicable, please list the main reason C & R Asphalt was not awarded the contract for your work

6) (Optional) Please name the contractor who was awarded the contract.

7) If price was the reason for losing the contract, by what percentage was C & R Asphalt's price higher than that of the selected contractor?

Less than 5% 5-10% 10-15% More than 15%

8) If service offering and capabilities affected the selection, what services and/or capabilities did C & R Asphalt not offer that the competition did?

9) If the project was canceled due to budget limitations, will it need to be rebid at a later date? if so when would you like us to contact you?

Yes No

10) Please rate the quality of C & R Asphalt's services and performance
(1 =lowest rating, 5=highest rating).

Quality of material:	1 2 3 4 5
Quality of workmanship:	1 2 3 4 5
Completion time:	1 2 3 4 5
Follow up:	1 2 3 4 5
Overall, did our crews perform to your satisfaction?	1 2 3 4 5

11) What, if any, services would you like to see C & R Asphalt offer in the future?

12) How would you rate C & R Asphalt's efforts in educating our customers?
(1 =lowest rating, 5=highest rating)

Brochures:	1 2 3 4 5
Newsletter:	1 2 3 4 5
Seminars:	1 2 3 4 5
Trade Shows:	1 2 3 4 5
Video:	1 2 3 4 5
Web Site:	1 2 3 4 5

13) Where applicable, how would you rate our site maps in terms of quality and accuracy?

1 2 3 4 5

How helpful were the maps?

1 2 3 4 5

14) How many employees are there in your company?

15) Who is the main decision maker for maintenance purchasing at your company?

16) Please use this area for any questions, comments, or specific areas you feel strongly about that we have not addressed in this questionnaire (i.e. C & R Asphalt's Web Site, our support Staff, etc.)

Information

Meet the
Company

Company
History

Frequently
Asked
Questions

What's
New at
C&R

Picking
the Right
Contractor

Employment
Opportunities

Client List
(Partial)