Costumer questionnaire

Dear business partner,
in the course of our annually held customer satisfaction analysis we have decided not to send questionnaires any longer, but to use the potentials of our homepage. Here, you get the opportunity to evaluate the collaboration with Chemie Wocklum at any time you like. Your proposals provide a basis for us to accomplish improvements or to grasp new ideas. We are looking forward to your contribution!

Costumer-No
Company*
Contact person*
Position
Postal code / City
Area code/Phone/Fax
E-Mail adress*
Adherence to   delivery dates
Quality of goods
Accompanying   documents
Correctness of invoice
* = Mandatory fields Please note: To avoid misusage of the request form your IP-Adress will be logged.