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Quality Survey

Order Number: This can be found on your packing slip if you received the product directly from Pascal Company, Inc. Leave blank if you received the product from a distributor.
* Product:
* 1. Did you receive your product in a timely manner?	Yes No
* 2. Was your shipment received in good condition?	Yes No
* 3. Is the product packaging to your liking?	Yes No
* 4. Were the instructions easily understood?	Yes No
* 5. Is the product easy to use?	Yes No
* 6. Have you used this product before?	Yes No
* 7. Flavor?	Satisfied Not Satisfied N/A
* 8. Scent?	Satisfied Not Satisfied N/A
* 9. Effectiveness	Satisfied Not Satisfied N/A
Comments / Suggestions:
* Practice Name:
* Contact:
* Email:
Address:
Phone:

* Required Field