Customer Feedback Form Page 1 of 1

Date: Place:
Customer: Customer representative

We would be obliged to have your valuable feedback to improve our product /

service / system.

Sr. Issues (3) (2) (1)

No. Best Good Needs
Improve
ment
1 Whether our product meets your requirements? 3

2 Whether we meet your delivery requirements? 3

(Quantity & Schedule)

3 How would you rate the Quality of our product? 3

4 How do you find our documentation? 2

5 How would you rate our Interaction with you? 2

6 Whether our response to your queries is prompt? 3

7 Whether our response to your complaints is prompt? 3

8 Is our price / cost competitive? 3

9 How do you rate our efforts towards a systematic 2

organization?
10 How would you rate our knowledge about the 3
product?

Please give your suggestions / comments for us:

Customer Sign For

Rev. 00 dated 01/09/2014

 Customer Feedback Page 1 of 1
Analysis Form

Customer:

BEST (3 GOOD (2 NEEDS TOTAL

marks) marks) IMPROVEMENT
(1 marks)
No. of questions 6 3 1
answered
Total

Score obtained:

Percentage = Score obtained / Maximum score

Areas to improve (Preferably from column NEEDS IMPROVEMENT)

1. Documentation should be easily retrievable upon queries.

2. Need prompt follow-up as per documentation terms

3.

Action plan

Sr. Actions planned Responsibility Target Follow up

no.

Customer intimation -

Rev. 00 dated 01/09/2014