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Customer Feedback Form: Marks Obtained
Customer Feedback Form: Marks Obtained
Customer Feedback Form: Marks Obtained
PR-621-F-01
Issue No. 01
REV:00
DATE: 01.12.2013
PAGE: 1 of 1
CUSTOMER FEEDBACK FORM
Date:
Customer Name:
Product(s) Purchased:
Assessment (Please tick the relevant box)
Sr.
No.
Attribute
Excellent
Very
Good
Good Satisfactory Poor
5 4 3 2 1
1. Quality
2. Timely Delivery
3. Documentation (Billing, etc.)
4. Response & Support Service
5. Cost
YOUR SUGGESTIONS FOR IMPROVEMENT / OTHER REMARKS :
NAME & SIGNATURE
(FOR USE BY)
Marks Obtained
Customer Satisfaction index (CSI) : ------------------- X 100
Total Marks
------------------- X 100 % = %
Follow up, if any:
Note :-
If customer does not return this format (duly filled) within one month, he will be
considered satisfied.
DOC. PR-621-F-01
Issue No. 01
REV:00
DATE: 01.12.2013
PAGE: 1 of 1
CUSTOMER FEEDBACK FORM
Besides this format, repeated orders received within a specified period (three
months, six months or one year) will be considered as the implied indication of
customer satisfaction.