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