Customer Satisfaction Survey Form

KR/MKT/R/04-02

We value your opinion of us. Please take some time to fill this Customer Satisfaction Survey Form
to understand your opinion on various factors and serve you better. Please send us your rating for the given
period.
From

Period :

To

Your Rating on our QUALITY PARAMETERS

1

Fitment

Dimensional accuracy as per drawing/ Specifications

Product Finish

Packing of our material

Issuing Test Certificates, as required

Your Rating on our DELIVERY PARAMETERS

6

Meeting overall monthly targets

On-Time Delivery

Lead time for Development of New Products

Your Rating on our SERVICE PARAMETERS

9

Response to Customer Complaints

10

Mode of Transport

11

Response to your queries

12

Overall Rating
Overall Satisfaction

Any Suggestions for Improvement :

Customer Representatives Signature with Date & Seal :

Below Par (1)

Average (2)

PARAMETER

Good (3)

S. No.

Excellent (4)

Rating (pls. Tick)

Any Suggestions /
Comments