0693-0031_SRMRegistrationSatisfactionSurveyPostCard_SAMPLE_2021_Submission

CUSTOMER REGISTRATION AND SATISFACTION REPORT CARD
FOR NIST STANDARD REFERENCE MATERIALS®
To be notified of any updates or
developments of a product, please
register your NIST Standard
Reference Material® (SRM).
We also invite you to rate our
services. Information provided by
you is very valuable to our continued
efforts to enhance our features and
content of our measurement services.

You can complete and return
this card.

PURCHASE INFORMATION
NIST SRM Number:
Date Shipped:
NIST Division:
NIST Sales Order Number:
Example (0800000)
Customer Purchase Order
Number:
Lot Number (if available):
Serial Number (if available):
Purchased directly from NIST? Yes

Please Print
To submit a registration and
customer survey online, go to
http://www.nist.gov/srm_survey.
To submit a registration only, go
to http://www.nist.gov/srm_reg.
Visit us at
http://www.nist.gov/srm
Thank you.

No

CUSTOMER INFORMATION
User First Name:
User Surname:
Organization/Company:
Address:
Address (continued):
City, State/Province:
Country, Postal Code:
E-mail:
Phone:
Fax:

Best Method of Contact:

City:

State/Province:

Country:

Postal Code:

Email

Phone

Do NOT cut.
Fold, staple, and mail.
Do NOT cut.
Please rate your NIST SRM purchasing experience and product by checking the appropriate box in the table below.
Excellent

Category

Question

Website

Navigation and usability of the SRM web site
Web presentation of SRM product information
Overall website experience
SRM availability for purchase
Ease with getting in touch with SRM Sales and Customer Service
Response time with your request for a quote or order
Overall experience with order placement
(via online or email)

Order
Placement

Order
Fulfillment

Very
Good

Good

Fair*

Poor*

N/A

Once the order for available items was placed, timeliness of delivery
Carrier treatment of shipment
Packaging of SRM(s)
SRM Certificate / Certificate of Analysis / Report of Investigation /
Product
Reference Material Information Sheet information
Safety Data Sheet or SRM Exemption Letter information
Overall SRM Quality
Overall SRM Value
How could NIST serve you better in the future?

*Let us know why any score was Fair or Poor.
What is the intended use of this SRM to your work?
Other comments?
How did you hear about NIST Standard Reference Materials?
Advertisement
Catalog/Brochure
Colleague

Exhibit/Meeting

Web

Approved by Office of Management and Budget (OMB) for public information collection until 30 June 2021.

Repeat Customer
OMB Control No.: 0693-0031

OFFICIAL BUSINESS
PENALTY FOR PRIVATE USE $300

BUSINESS REPLY MAIL

FIRST CLASS MAIL

PERMIT NO. 11

GAITHERSBURG, MD

POSTAGE WILL BE PAID BY THE ADDRESSEE

NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY
MEASUREMENT SERVICE DIVISION, MS 2300
PO BOX 7139
GAITHERSBURG MD 20898-9941