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Satisfaction Form
Last Name
Name
E-mail
Country
USA
Mexico
Costa Rica
El Salvador
Guatemala
Honduras
Puerto Rico
Dominican Republic
Panama
Argentina
Brazil
Bolivia
Chile
Colombia
Ecuador
Peru
Uruguay
Spain
Italy
France
Portugal
Defective Product Model
Serial Number
Problem Found
Date Of Entry To Technical Service
Finish Date Of Technical Service
Valid Warranty
Yes
No
Service satisfaction
Ease of contact with the Technical Service
Unsatisfactory
Acceptable
Good
Very Good
Personnel training
Unsatisfactory
Acceptable
Good
Very Good
Quality of service
Unsatisfactory
Acceptable
Good
Very Good
Solution to the problem
Unsatisfactory
Acceptable
Good
Very Good
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Evaluation
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