# CUSTOMER FEEDBACK AND SUGGESTION FORM #

Customer :

Test Certificate Ref. no. and date :

Sl. No. Parameter Feedback rating Suggestions for

[ Please tick any one ] improvement

1 Availability of information regarding E G Avg NI

laboratory services

2 Response to Query over telephone, E G Avg NI

e-mail, fax, etc.

3 Attention and service during visit E G Avg NI

to lab

4 On time completion of work including E G Avg NI

delivery of Test certificates

5 Quality of Test and Certificates E G Avg NI

6 Reliability of Test Results E G Avg NI

7 Value of Money E G Avg NI

8 Receiptiveness to complaints and E G Avg NI

suggestions

9 Adhere to standards E G Avg NI

10 Adequecy of infrastructure E G Avg NI

11 Any other suggestions

Legend: E Excellent, G Good, Avg. Average, NI Need improvement

Signature with seal

Transformer Oil testing laboratory

SHREE ABIRAMI ENGGINEERING WORKS

Document name: Forms & Formats Document no. : SAEW / QF / 009

Issue no. 01 Issue date: 15-05-2012 Prepared by: QM Page no.:

Amend. No. --- Amend. Date: --- Approved by: CE Issued by: QM