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Have you recently had your Samsung wireless phone serviced by our U.S. repair center? If so, please take a few minutes to complete this survey. Thank you.

*Asterisked fields are required.

Owner Information

*Full Name
*Address
*City
*State
*Zip Code
*E-mail Address

Product Information

Phone Model	What phone do I have?
Serial Number (ESN)	Where is my ESN?
Date Sent for Repair	Choose date
RMA#

Additional Information

1. How were you referred to our repair center?

888-987-HELP(4357)

Web site

Dealer

Other

2. How long did it take for the repair?

1-7 days

1-2 weeks

2-3 weeks

Over 3 weeks

3. Was your phone working correctly after it was repaired?

Yes No

4. Please rate overall satisfaction with phone since repair.

Excellent

Good

Fair

Poor

5. Please rate the following areas of Samsung's service.

Attitude Excellent Good Fair Poor

Knowledge Excellent Good Fair Poor

Communication Excellent Good Fair Poor

Effectiveness Excellent Good Fair Poor

Customer service Excellent Good Fair Poor

6. Would you recommend Samsung's repair service to a friend?

Yes No

7. Would you recommend Samsung products to a friend?

Yes No

8. Comments: