Customer Satisfaction Survey for Products and Services
Questions marked with an asterisk (*) are mandatory.
Please take a few moments to complete our Training feedback survey. Your feedback is important to us. Your responses will help us continue to serve your training needs, make any necessary improvements, and develop new products and services to surpass your expectations. Your responses will not be used for any purpose other than customer satisfaction and training improvement research conducted by Rockwell Automation.

This survey will take approximately 10 minutes to complete.
1

If you want to enter our drawing for a free iPod Nano, please provide your contact information. A winner will be selected at random each quarter.

Name: 
Company: 
Address 1: 
Address 2: 
City/Town: 
State/Province: 
Zip/Postal Code: 
Country: 
Email Address: 
2

* Are you a Rockwell Automation:

Customer
Employee
Distributor
Other, please specify
3

* Select the Rockwell Automation training product or service for which you would like to give feedback.

Computer-Based Training Course (RSTrainer)
Web-Based Training Course
Job Aids
Workstations
Other