ERGO - Evaluating Risks in Growing Occupations Inc.

Please complete and submit the Customer Survey.

Name:

* required

Company:

* required

Title:

* required

Email:

* required

Services:

*How did you first learn about Ergo Inc.?*

Trade Show, Conference		Website
ERGO Mailing - Newsletter		ERGO Email - Newsletter
Referral, please specify the Name/Company:
Other, please specify:

*What ERGO Inc. Service(s) have you used and rate your satisfaction.*

Services	Rating

Ergonomic Assessment Services
Ergonomic Training
Post Offer Pre-employment Testing
Onsite Ergonomic Training
Job Suitability Analysis or Return to Work
Health & Safety Training or Program Development
Other, please specify:

Specialists:

	*What ERGO Inc. Specialist(s) do you work with?*

	Marnie Downey
	Alexandra Stinson
	Annie Snow
	Jennifer McGillis
	Sarah Snable
	Pam Grills
	Larry Mylrea
	Rick McFadden

Ranking:

	*Please rank ERGO Inc. .*

	Quality of Service	:
	Expertise	:
	Professionalism	:
	Speed of Service	:
	Report Presentations	:
	Oral, Verbal Communication	:

	Comments	:

Comments:

Please comment on your working relationship with ERGO Inc. and the outcome of the project we completed for your organization. * required

Comments	:

*May ERGO Inc. use your name as a reference or publish your comments for advertising?*

Yes		No

**When you submit this survey you will be redirected to our home page and receive an email containing your username and password for our resource page.**

Thank you for taking the time to complete our survey. We appreciate your business and look forward to working with you in the future.

tel (705) 436-4504

email: downey@ergoconsulting.net

fax (705) 436-4619