No: 43-R1（1）
Questionnaire for Customer Satisfaction
Company: QINGDAO JINHAIYUAN FOOD CO.,LTD
Address: DONGDAZHAI VILLAGE HETOUDIAN TOWN LAIXI CITY QINGDAO CHINA
Customer: ____________________________________________________________________
Address: ____________________________________________________________________________ Contact Person: ___________________ Phone: ___________________ Fax: _______________________
Filled by :____________________Position in the company: _________________ Date: __________________
Please do not fill in the following, thank you!
Score:________________ Recorded by/Date: __________________Reviewed by/Date: ________________ Edited by:Xu Jinpeng Approved by:Yangguoxian Effective Date:July 1,2009