Customer's Survey Form

Customer Particulars Customer Name * Email Address * Residential / Office No. * Mobile No. * Fax No. Questions 1. Are you a customer of LEE WEE & BROTHERS FOODSTUFFS or have purchased any of our Otah / Food Items? Yes, I'm a customer or I've purchased your food item(s). No, I'm a new to your food item(s). 2. How would you rate us for our services offered at various outlets? Bad Poor Average Good Excellent 3. How would you rate us for our services if you have purchased Online or using Fax-In Orders? Bad Poor Average Good Excellent 4. How would you rate us in terms of taste for our Otah/ Food item(s)? Bad Poor Average Good Excellent 5. How would you rate us in terms of quality for our Otah/ Food item(s)? Bad Poor Average Good Excellent Comments