Your Company Name* Your Name/Title* Tel Fax E-Mail* Date*       A1. How do you rate our products? Please check the box that best reflects your experience(s). Highly Satisfied Satisfied Indifferent Dissatisfied Highly Dissatisfied 5 4 3 2 1 1. Product Quality: including product functionality and reliability 2. Industrial Design (aesthetic appeal) and Mechanical Structure (ease of assembly or user-friendly application) 3. FOB Pricing: including product’s value and position in the market 4. Package Design and Shipping Carton 5. Delivery Schedule   A2. Are you planning to increase your purchase amounts or product items for year 2012? A3. What kind of product(s) would you suggest as a consideration for our product development? A4. Who (what brands) would you consider as our “competitors” in your targeted market region?