*Your First Name:
*Your Last Name:
*Company Name:
*   Email Address:
                   City:  
   State/Province: 
              Country: 
  Postal/Zip Code:
*   Telephone:
                     Fax: 

1. Please type in your Service Call I.D. # (on the top right of your service call slip):
   
2. Did our service technician respond within the timeframe we gave you?
   Yes No
   2A. If your answer is "no," did our service technician call to let you know he or she was running behind?
   Yes No
3. Was our service technician professionally dressed?
   Yes No
   3A. If no, please describe:
   
4. Was our service technician courteous and polite?
   Yes No
   4A. If no, please describe:
   
5. Did our service technician efficiently identify and fix the problem?
   Yes No
   5A. If no, please describe:
   
6. Were you satisfied with the overall quality of this service call?
   Yes No
   6A. If no, please describe:
   
7. Did our service technician do anything noteworthy to provide you with excellent service?
   Yes No
   7A. If no, please describe:
   
8. Based on your experience, would you refer a colleague to Network Imaging?
   Yes No
9. Would you like to receive a complimentary pass to the Connecticut Business Expo at the new Connecticut Convention Center on June 1, 2006?
   Yes No
10. Would you like a free patriotic poster for your workspace, a co-worker or friend?
    Yes No

Thank You! Simply click "Submit" to send us your service call evaluation.