Agricultural Products Customer Evaluation Form
**please fill in all blanks before submitting**
**if a field is not applicable, enter 'none'**

Name
E-Mail Address
Address
Town
Province/State
Country
Postal/ZIP Code

Our operation have:
Sows  Nursery  Grower/Finishing

Number of Years Using Faroex's Products

How do you rate the following? (10 is best, 1 is worst)

  10 9 8 7 6 5 4 3 2 1
Quality
Service
Traction
Cleanliness
Washing
Durability

Comments:

Any teat problems?
Yes  No  Not Applicable

If any, what is the one change you would like to see to improve our products?

Would you purchase more in the future if required?
Yes No

Other comments:

Thank you for filling out this evaluation sheet.  We appreciate your comments and hope to serve you better in the future.