Authorized
Rainbow
Distributor

Customer Feedback

Let us know about your Rainbow experience using our online feedback form.

Rate each item on a scale of 1 to 5, with 5 being the best:

1. Overall experience with the presentation:

1	2	3	4	5
2. Was the representative polite and courteous?

1	2	3	4	5
3. Do you think the Rainbow would help people with allergies and asthma?

1	2	3	4	5
4. Would you recommend the Rainbow to your friends and family?

1	2	3	4	5
Why?

5. What do you think we could do to make the presentation better?

Name of Representative:
Date of Presentation:
Your Name:
Your Email Address:	*
*We will not share your personal information with anyone.

©2007 J&M Distributing
5088 Corporate Exchange #250
Grand Rapids, MI 49512
616.698.8700
1.877.464.3836

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