JIMS® Customer Feedback

Please complete this form to help us serve you better.
1. What was the product or purpose of your inquiry?
2. This is for a Compliment
3. What did we do well?
4. What could we have done better?
5. Grade Our Sales Staff 1-5 (5's are best!)
1  2  3  4  5

Please answer the following:
a. Did you receive courteous service? Yes No
b. Were you satisfied with the information you recieved? Yes No
c. Were you informed of the new products?
Yes No

If you would like a response to any of your comments, please INSERT your information below (optional):
First Name: Last Name:
Address: City:
State: Zip Code: Phone: -- Email: