DOC. NO.

LBST/MKT/CSR

Date:

CUSTOMER SATISFACTION SURVEY

Dear Sir,
In order to improve our service, we would highly appreciate to receive your feedback on
our product / service/ project performance. We seek your opinion. Your feedback will be used to
better meet your needs in the near future. Kindly complete the details given below & send it back
to us at your earliest.
Thanking you,
Your Sincerely.

Instructions: - Kindly tick the appropriate column based on your experience.

A].

SR. PARAMETER Exce Very Good Satisfa Poor

No. llent Good ctory
5 4 3 2 1
1. Quality of the Product
2. Quality of the labeling & Packaging
3. Transportation
4. Communication from our side
5. Complaints Management
6. Timely Delivery
7. Behavior of staff
8. Quantity supply as per order
9. Document provided (Certificate of
Analysis, Transport Doc’s etc.)
10. Overall Rating.

(A X 5) + (B X 4) + (C X 3) + (D X 4) + ( E X 5) X 100
Customer satisfaction Index =
5 X 10 X Total No. of Forms received

B] Suggestions for improvement: -

Signature
Name :
Designation :
Organisation:
Date : Stamp / Seal