Document Number: CBC-BD-FR-02

Revision: 00
Effectivity: 01/20/2020

CUSTOMER SATISFACTION
SURVEY
Project ID:

Project ID:

Project Name:

Location/ Address:

Implementing Agency:

Evaluation Period: Evaluation Date:

Performance Rating:

Note:
1 Poor Performance; Needs
Improvement 1. Secure Customer Satisfaction Survey every 6 months of the project
or every project was completed.
2. Target is to achieve average rating of Good Performance (2) upon
request of Customer Satisfaction Survey.
2 Good Performance 3. Prepare Corrective Action if average rating is Poor Performance (1).
-Refer to Corrective Action Report.

3 Excellent Performance

Performance Evaluation:
Rating Customer Comment:
No. Checkpoint (Check appropriate box)
1 2 3
1. Service Provided

2. Quality of Workmanship

3. Met project schedule

4. Responded timely and effectively.

5. Safe Work site

AVERAGE RATING

Thank you for taking time to complete the Customers Satisfaction Survey!!!

Evaluated by:

Name and Signature: Position