*Name:
	Title:
	*Company:
	*Email:
	What is your relationship to HitchDoc?   Dealer/Distributor   End User   Other, please specify
	Please select your industry or primary area of focus:   Seed Cart   Snowblowers   Dual Dozer   Sandpiper   Contract Manufacturinng   Motorcycle Hitches   Other, please specify
	Please rate your level of importance on each of the following:       N/A   Very Unimportant   Unimportant   Neutral   Important   Very Important Price             Product Quality             Sales Rep Availability             Sales Rep Performance             Literature             Customer Service             Warranty Claims Process             Web Site             Innovative Products             Ordering Process             Lead Time Accuracy             Confirmations / Follow-up             Product Selection
	Please rate your experience with HitchDoc based on the same categories:       N/A   Very Unimportant   Unimportant   Neutral   Important   Very Important Price             Product Quality             Sales Rep Availability             Sales Rep Performance             Literature             Customer Service             Warranty Claims Process             Web Site             Innovative Products             Ordering Process             Lead Time Accuracy             Confirmations / Follow-up             Product Selection
	How do you normally submit your orders to us: -- None -- Fax Email EDI Phone Other
	How do you receive order confirmations follow-up from us: -- None -- Fax Email EDI Phone Other
	Please rate the accuracy and timeliness of your order when it's processed:       Poor   Below Average   Average   Above Average   Excellent Accuracy           Timeliness
	Please rate the accuracy and timeliness when your order is confirmed:       Poor   Below Average   Average   Above Average   Excellent Accuracy           Timeliness
	Please rate the accuracy of your order's shipdate versus the acknowledged lead time:       Poor   Below Average   Average   Above Average   Excellent Accuracy
	Please rate the accuracy and timeliness of the claim process when you have a return or damaged goods:       Poor   Below Average   Average   Above Average   Excellent Accuracy           Timeliness
	What are your lead time expectations:
	Compared to your other suppliers of similar goods, how would you rate HitchDoc:       Poor   Below Average   Average   Above Average   Excellent Rating
	Overall, rate how easy it is to conduct business with HitchDoc:       Very Difficult   Difficult   Average   Easy   Very Easy Rating:
	Please rate your satisfaction in HitchDoc providing innovative solutions to meet your needs:       Poor   Below Average   Average   Above Average   Excellent Rating
	What product or service, not currently offered by HitchDoc, could benefit your organization (i.e. new products, incorporation of various technologies). Please elaborate below:
	How likely are you to recommend HitchDoc to others:       Very Unlikely   Unlikely   Undecided   Likely   Very Likely Rating:
	Additional comments or details?