Important Questionnaire for
Karl's Formula and Raiza Crème Distributors

Welcome! 

Thanks for taking part in this brief survey.  It is my personal goal to make the company the best it can be.  To do that, I need your help.  YOU are the number one customer and your opinion matters.  I'd like to know what you think.  It is my intention to keep open communication at all times with distributors.

If you are a Shareholder in Energy Research Corp., please be sure to complete the section labeled, "Shareholder information" below.  It is important that we have accurate records to ensure a smooth transfer.  All answers are optional and confidential.  This page is served from a secure server and I respect your privacy.  

-Gentry Smith 
Distributor information
First Name:
Last Name:
City:
State / Province:
Zip/Postal Code:
Email address:
Your Distributor ID:
(if known)
 
Shareholder information
1.
 Are you a documented shareholder in Energy Research Corporation?  
2.
 If a shareholder, please enter number of shares owned:
 
3.
 If a shareholder, are the stock certificates physically in your possession and accessible?
4.
 If you are a shareholder and no-longer have possession of your stock certificates, are you currently able to document your receipt of the stock certificate(s)?
 

Distributor Survey

1: Are you a past or present Karl's Formula or Raiza Crème Distributor?
Please choose one of the following:

 
2: In detail, how have you personally marketed Karl's Formula or Raiza Crème in the past?

Please enter your answer here:
 
3: Which methods did you find to be most successful?
Please enter your answer here:
 
4: In your opinion, how can Karl's Formula improve?
       Skip to the next question if you are not a KF distributor
 

Please enter your answer here:
 
5: In your opinion, how can Raiza Crème improve?
       Skip to the next question if you are not a RC distributor
  Please enter your answer here:
 
6: Are there any company sponsored sales and marketing tools you would like to see implemented?      (e.g. brochures, flyers, banner ads, sales leads)
Please enter your answer here:
 
7: Are there any specific changes or improvements you would like to see?
       List anything that may not have been covered in your previous answers.
  Enter your answer here:
 
8: How long have you been a Karl's Formula or Raiza Crème Distributor?
       Skip if not a distributor.  Approximate answers OK.
  Enter your answer here:
 
9: On a scale of 1 to 5, how do you feel about the following aspects of Karl's Formula?
  1 = Not happy at all.  2 = Could use improvement.  3 = Indifferent.  4 = I'm OK with it.  5 = Very Happy

Please choose the appropriate response for each item:
 
 
1
2
3
4
5
The marketing plan and commission
Distributor support
KF quality and effectiveness
KF product salability
KF Packaging
KF product ordering and delivery
Previous management and company stability
Communication with company
 
10: On a scale of 1 to 5, how do you feel about the following aspects of Raiza Crème?
 

1 = Not happy at all.  2 = Could use improvement.  3 = Indifferent.  4 = I'm OK with it.  5 = Very Happy

Please choose the appropriate response for each item:
 
1
2
3
4
5
The marketing plan and commission
Distributor support
Raiza Crème product quality and effectiveness
Raiza Crème product salability
Raiza Crème product Packaging
Raiza Crème ordering and delivery time
Previous company management and stability
Communication with company
 
11: Any other comments, suggestions, etc.?
Please type your answer here:
 

Thanks for your participation in this survey!