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Let Us Know How We Did!

We would like to thank you for your support and we look forward to continue working together.

With a goal of constant improvement, we ask for 1-2 minutes out of your time to complete the survey below and let us know how we did on your recent purchase. This form will help us get to know your needs to further support our continued partnership!

"*" indicates required fields

This field is for validation purposes and should be left unchanged.
Overall Satisfaction*
How satisfied are you with your experience with Genesis Chemicals overall?
Product Performance*
How well do our products meet your performance expectations/requirements?
Product & Packaging Quality*
How would you rate the quality and consistency of our products?
Service & Support*
How satisfied are you with our customer service, technical support, and responsiveness?
Delivery & Lead Times*
How would you rate our order accuracy and delivery timeliness?
Value & Pricing*
How would you rate the value of our products relative to their costs?
(Optional)
Would you like us to reach out regarding any issues with our products/services?