ESL/PPC/STL/FRM/036

Rev : 00, Date : 26.06.2014

INTERNAL CUSTOMER FEEDBACK FORM

(For Calculation Of Internal Customer Feedback
Index)
PPC

Period of feedback: April to July August to November

December to March

Year : Put right mark in appropriate box.

Details of Internal Customer Department :

1. Name of Internal Customer Department :

2. Represented by (Name of HOD) :

Weightage
Sr. No. Technical / Service Parameters Rating ( 1 to 5 )
Factor

A Understanding of your requirement. 15%

B Fulfilment of your requirement. 20%

C Adequacy of the required information provided. 10%

D Clarity and correctness of the required information provided. 10%

E Timeliness of the service provided. 15%

F Attitude of persons providing the service. 10%

G Subject knowledge of service provider. 10%

H Additional help / guidance provded to do your work more efficiently. 10%

Internal Customer Satisfaction Index (CSI)={(A+E)X0.15}+(BX0.2)+{(C+D+F+G+H)X0.1}

Rating Scale : 5 - Excellent, 4 - Good, 3 - Satisfactory, 2 - Poor, 1 - Very Poor.

Any problem faced :

Any suggestion for improvement :

Date of evaluation :

Signature of Evaluator :

_x000D_ Sensitivity: Confidential (C2)

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 Signature of HOD of eavaluating
Name of Evaluator : Internal Customer Department.

_x000D_ Sensitivity: Confidential (C2)

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