Title: DOC. No.

: FB
Customer Feedback Form Date :
Department: Document Type :

Services Format

Client : Mr. RAHUL KUNDURTHI

Project Name: NMDC, DONIMALAI

Name of Representative/Engineer: Mr. JAYAMKONDAN

Date : 12 / 5/ 2018
DD MM YY

Note: Please tick () the appropriate option/column to indicate your choice.

Legends : VD : Very Dissatisfied, D: Dissatisfied, N : Neutral S, : Satisfied, VS : Very Satisfied.

Satisfaction Level
Quality Aspect Not VD D N S VS
App 1 2 3 4 5 6 7 8 9 10

Technical Competency of Personnel

Timeliness of Job

Clarifications to your technical queries

Adequacy of documents provided

Overall Opinion

Feedback and Comments :

Customer's Signature :

Name:
RAHUL KUNDURTHI

Designation :
MANAGER
 FB Rev No. : 1
Page No. : 1 of 1

ormat

AN

Remark