| Consumer Company Name | 
   
     |  
   
     | Name and Designation of Purchased Products |  
   
     |  
   
     | Timeliness of Response to Submitted Request |  
   
    
  |  
   
     | Timeliness of Agreement and Signing of Contract (Timeliness, Competence) |  
   
    
  |  
   
     | Delivery Times of Products  |  
   
    
  |  
   
     | Product Quality  |  
   
    
  |  
   
     | Accompanying Documentation for Products |  
   
    
  |  
   
    | Note:  | 
   
    |   |  
   
      
         
        | 
   
     |