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客 户 满 意 度 调 查 表

______ 年 _____ 月 ______ 日

尊敬的客户:
承蒙贵公司一如既往的采用敝厂产品,敝厂对此不胜感激.为进一步了解贵公司的要求和建议,烦请贵公司填写下列问卷,以帮助敝司改善不足,为贵公司提供更佳的报务,下列问题:
请您在适当的空格內打 “ ” 并尽量于三日內回复,多谢合作.

与其他供应商比较,您觉得﹕

序号 项目 非常满意 满意 一般 不满意 非常不满意 得分 理由(本项不強求)

10 9 8 7 6 5 4 3 2 1
1 业务态度
2 产品品质
3 不良品处置时效性
4 问题改善执行度
5 生产能力
6 交货要求达成
7 技术能力
8 市场销售满意度
9 销售服务
10 其他
贵司对敝司的抱怨內容有﹕

您對敝厂其他的改善建议或意见:

填写部门(客户)﹕ 填表(客户)﹕
宁 波 高 正 电 子 有 限 公 司
表单编号 : FOR-0096 客户满意度调查表 版本 : 1.0 DEGSON ELECTRONICS CO., LTD
Customer Satisfaction Survey
Date:______
Company name: Contact person: Email No.: Fax NO.:
Dear Sirs:
Thanks for your unremitting support for our company !In order to let us understand more about your requirements and advice ,
please complete this question form to help us improve ourselves and offer better service! Please full "√" in the blank that you
consider degree of satisfaction ,of course you can give yourself advice and try to finish it within 3 days,kindly return to us by
email or fax as below , thank you in advance!

Email address : Fax No. :


Compared with other suppliers,your opinion:
Quite Quite
satisfied Satisfied Acceptable Dissatisfied dissatisfied
NO. Item reason and advice

10 9 8 7 6 5 4 3 2 1
1 Service attitude
2 Quality of products
3 Disposal of defective products
4 Improvement of problem
5 Production Capacity
6 Delivery requirements
7 Technical Capacity
8 Marketing satisfaction
9 Sales service
10 Other

Total score:
□More than 90 points(Satisfactory);
□Between 90 and 70 points(Relative satisfactory);
□Between 70 and 60 points(Acceptable);
□Between 60 and 30 points(Dissatisfactory);
□below 30 points (Quite dissatisfactory)

Any complaints to XX﹕

Any advice to XX:


Department(client)﹕ Signature:
Number: FOR-0096 Customer Satisfaction Survey Version : 1.1

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