FO-2F7-1.

CUSTOMER FEEDBACK FORM

(Kindly print, scan filled out form and e-mail to casl.biotech.uplb@gmail.com)
We thank you for choosing our Laboratory to provide for your needs. Because we want
to serve you better, we would like to ask for your feedback.
Date of Filing:
Name of Customer:
Designation:
Company Name:
Address:

Signature:

Contact Number:
E-mail address:
What type of service/analysis was requested?

Is this your first time requesting for an Analytical service?

If no, which laboratory have you visited before?

Yes

No

Based on the scale below, kindly rate your satisfaction on the service you received.
(5 - Excellent, 4 - Very Satisfactory, 3 - Satisfactory, 2 - Unsatisfactory, 1 - Very Unsatisfactory
5

Quality of Result (Accuracy and Precision)

Completeness and correctness of the contents of the test reports
Adequacy of the test reports (in terms of accuracy and repeatability)

Timeliness (Release of Results)

Cost
Approachability/Politeness of Staff
Accommodating during customer inquiry
Submission of samples
Providing access to relevant areas of the laboratory
Final completion of the contract (CASL request form)

Do you have comments/suggestions on the overall performance of the laboratory?

Will you avail of our services again and/or recommend us to others?

Thank you very much for taking the time to tell us what you think.
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