Customer Satisfaction Survey

Company / Customer Name :

Name : Date :

Dear Sir / Madam,

As outlined in our Corporate Quality Policy, achieving Customer Satisfaction is one of our goals.
The feedback from your organization, as a valuable customer, is crucial for measuring of customer satisfaction.
We are confident that both our organizations will benefit from the results of this survey.

Considering the above, we ask you kindly to answer the following questions and return this survey to us,
to the attention of Quality Management Representative, at your earliest convenience. Any additional comments
you might have are appreciated.

Please evaluate the following questions (please checkmark):

Perseption Expectation
DESCRIPTION Excellent Good Fair Poor Excellent Good Fair Poor

1) Response time of our customer support (service/sales)

2) Product quality

3) Meeting your packaging requirements

4) Meeting delivery dates

5) Frequency and quality of visits by our sales staff

6) Effectiveness of established lines of communication:

Sales/Service

Quality Assurance

Engineering

Others__________

7) Your overall opinion of PT. Alazka Tiga Bermuda as a vendor

Comments :

Filled out by (name): ________________________Title: _______________________

Signature: Date: _______________________