IMS-CFB-F-18

Customer Feedback Form

(Periodical) Issue 04

Customer :

Product/Job Ref. :

Period of evaluation:
Please tick the appropriate
Criteria Sl # Description Rating (1 lowest & 5 highest)

1 Quality of our products 1 2 3 4 5

Quality 2 Aesthetic/External look of our panels 1 2 3 4 5

1 Is our delivery on time? 1 2 3 4 5

Delivery 2 Is our delivery in good condition? 1 2 3 4 5

1 Does the service provided by us satisfy you? 1 2 3 4 5

2 Our response towards your requirements. 1 2 3 4 5

Services
3 Does our engineer visit you to offer product/service? 1 2 3 4 5

4 Is your complaints solved within the required time? 1 2 3 4 5

5 Is our catalogue useful to you? 1 2 3 4 5

Overall 1 How do you rate our overall performance 1 2 3 4 5

Your comments/Suggestions/Feedback for our improvement :

Customer’s Signature
Adex Use Only

Report No. :

Date :

Customer of :

Prepared & Issued by : MR