Title: DOC. No.

: FB
Customer Feedback Form Date :
Department: Document Type :

Services Format

Client : L & T Electrical and Automation

Project Name: 220/33kV Ramagundam Fertilizers and Chemical pvt ltd

Name of Representative/Engineer: JAYA PRAKASH.R

Date : 28 / 12 / 2017
DD MM YY

Note: Please tick () the appropriate option/column to indicate your choice.

Legends : VD : Very Dissatisfied, D: Dissatisfied, N : Neutral S, : Satisfied, VS : Very Satisfied.

Satisfaction Level
Quality Aspect Not VD D N S VS
App 1 2 3 4 5 6 7 8 9 10

Technical Competency of Personnel

Timeliness of Job

Clarifications to your technical queries

Adequacy of documents provided

Overall Opinion

Feedback and Comments :

Customer's Signature :

Name:

Designation :
 FB Rev No. : 1
Page No. : 1 of 1

ormat

l pvt ltd

Remark