We value hearing from you, as a major source for improvement!

Please provide contact information:

• So that we will be able to reach you in case we have any questions or need to follow-up with you on any feedback or course Pre-registration submitted to confirm your preferred session has opening seating available.
  
• You feedback is incorporated into our continuous improvement program.
  
• If you providing feedback in response to requesting a gift course offered, Please include the course title in the comments section with your comments about your review of the web sites value and how well the topics and services meet your needs.
• Of course, any suggestions for improvement are appreciated

          Form Response Category        

Select one from the pull down menu CAPTech Course Pre-registrartion Motorola University Six Sigma Preferred Enrollment Customer Satisfaction Survey Request For Project Quotation Company Information Request Training Information Request Schedule On-site Training Request Personal Coaching Services Schedule Coaching Request On-line Conferencing Contact Me

How did you hear about us?

Select one Customer Referral Newsletter Web Search Business Partner Referral Chamber of Commerce Referral Direct Mail Print Advertisement Telemarketing Trade Show Email Advertisement

Please send  me E-mail  newsletters and  updates?
(Please provide contact information to subscribe)

Yes, I would like to subscribe No

Customer Satisfaction  Feedback Section
Please complete feedback specifics with asterisks*

* Type of Activity (select one)
Select one Auditor Coaching Public Training Session Training  onsite classroom Training on-line classroom Coaching onsite Coaching online Training development Project management Special Projects My service is not listed, see comment box below

*Date of  Service (enter as MM/DD/YY)

*Location of Service, Training, Coaching

*Coaches Name
(Please provide separate a feedback submission for each coach)

*Performance Rating (select one )
Select one Excellent - Would recommend to a friend Very good value - Better than expected Satisfactory - Met my expectation Needs Improvement -  Would not recommend Unsatisfactory - Contact me immediately

Course Pre-registration info to reserve your training session

Select Course Title, Training Location, Dates
Make any information special request, in the comments box below
You will receive a personal confirmation for your preferred date or alternatives, if the class is full.

CAPTech Public ISO Enrollment _____ Select for one CAPTech ISO Related Open Enrollment ISO 9001:2000 Lead Assessor (5 day) ISO 9001:2000 Auditor Transition (2 day) Corrective Action & Continuous Improvement Process Documentation Six Steps to Six Sigma Overview I don't see my course - see comments box

Six Sigma "preferred enrollment"____ Select one for Motorola University Preferred Enrollment Six Sigma Executive Overview Six Sigma Leadership Jump-start Six Sigma Green Belt Six Sigma Belt Belt Six Sigma Champion Training I have question? - - -see comments box below

CAPTech Leadership Seminars ______ Select one for Frontline Leadership Public Seminars Monthly Subscription Series January Session Feburary Session March Session April Session May Session June Session July Session August Session September Session October Session Novemebr Session December Session

Training Location _________________ Select one for Location Chicago Session Detroit Session Wilmington, NC Session Motorola University - Enrollment Live Web Conference - available for Frontline only I am inquiring about on-site training My location is not listed - - see comments box below

Training Date ____________________

I plan to pay later by _______________ Select method of payment Credit Card on-line at the e-Store Phone in Credit Card Mail Personal Check Mail Company Check Will decide later - (must be received 10 days prior)
Reservations are tentative until, final payment processing , which must be received 10 days prior, unless other arrangement's have been in advance. See E-Store Shopper information for details.

Customer Satisfaction Feedback or Pre-registration Comments:
Type in any additional comments or special requests below

Contact Information:
Course Preregistration, Customer Satisfaction Feedback or Newsletter signuo:

Please Contact Me (select one)

Select one Immediately - ASAP Within the next week FYI - No response needed Confirm Receipt by Email

Best Contact Time 

Note: Course Pre-registrations will be confirmed automatically by email, unless another method is specified.