This will help us set priorities:

1. Using a scale of 1-4, please assign the value of each characteristic by how its importance influences your vendor selection decision: (Choose N/A for Not Applicable)

Show us where we need to improve:

2. Please evaluate LASERAGE and our competition on the following characteristics:

3. Where did you hear about Laserage Technology?

Specify from above:

4. Would you recommend Laserage to others? (Please check one)

5. How frequently would you like our sales representative to visit you? Choose from menu: Once per month Once per quarter Once per year Not at all Other (Please Specify)

Other visit frequency:

6. How do you see the future for your business? Choose from menu: Increasing strongly Increasing moderately Staying about the same Decreasing moderatly Decreasing strongly

7. What tradeshow will you be attending within the next year?

8. Which of the following Trade Publications do you current read?

9. If you search for manufacturing solutions online, which internet locations to you utilize for direction?

10. How can we help you further? (Please fill in below)

11. Any additional comments? (Please fill in below)

12. Would you like to "Opt-out" to be removed from our Laserage Mailing List?

13. Would you like to "Opt-out"of the Laserage Technology Drawing?

Please provide Laserage with the following information:

Name*
Title
Company*
City*
State*
Zip*
Country
Phone*
Fax
e-mail*
Sales Rep* Add "none" if not known.
	* Required for drawing

  Thank You For Completing Our Satisfaction Survey!