Customer Satisfaction Survey Form Date : Wednesday, March 10, 2010
Customer Name : Address :
Customer Contact Number :
Customer E-mail Address :

Please Tick Against Appropriate Column
1. Quality of Our Product Excellent Very Good Good Poor
 
2. Our Delivery Performance Excellent Very Good Good Poor
 
3. Are you satisfied with the feedback on your complaints Excellent Very Good Good Poor
 
4. Repetition of Same Problem Never Seldom Rare Frequent
 
5. Packaging Excellent Very Good Good Poor
 
6. Our Communication Facilities Excellent Very Good Good Poor
Fax
Phone
E-mail
Letter
Circular
 
7. Value of our product against your money Very High High Medium Less
 
8. Behavior of our staff
 
9. Any other suggestion

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