Customer problem resolution Form

As a Quaker customer you are our number one concern. Our most important goal is your complete satisfaction. Because we value your input and requests for improvement, we are providing this online problem resolution form to address your complaints. Please submit the form and a Quaker Quality Assurance Associate will respond back to you directly.

Please fill out as much information as possible on the form below.
Required fields are denoted with an asterisk ( * ). Thank you.

Part 1: General Information
Part 2: Product Information

If applicable, please fill out as much of the below information as possible.
This will help us respond quickly to your problem.