CUSTOMER SATISFACTION SURVEY FORM PDC/MKTG/R/03

Customer Name M/S SEG AUTOMOTIVE INDIA

PVT LTD Address
(Pls affix .
Customer’s Representative Mr. PRAKASH PV Address
Seal/Print)
Evaluation Period 2021-2022
Rating (Tick)
SI.

Excellent

Average
PARAMETER Any Suggestions / Comments

Below
Good
NO.

Par
Your Rating on our QUALITY PARAMETERS

1 Product Quality as per Specification   

2 Customer disruptions returns, recalls & warranty claims   

3 Functionality on put to use   

4 Packing of our material 

5 Issuing Quality Assurance Certificates 
6 Quality system implementation as per your requirements 
Your Rating on our DELIVERY PARAMETERS

7 Meeting overall monthly targets   

8 On-Time Delivery / Freight   

9 Meeting Emergency Requirements   

Your Rating on our SERVICE PARAMETERS

10 Response to Customer Complaints 

11 Response time to Enquiry 
12 Response to New product development 
13 Response to your queries 
Hospitality to your Representatives during their visit to
14 
Organization
Overall Satisfaction 

Marks : Excellent-4, Good-3, Average-2, Below Par-1 Total Marks Scored : 3.5

Any Suggestions for Improvement: XXXXXXXXX

 CUSTOMER SATISFACTION SURVEY FORM PDC/MKTG/R/03

Customer Representative’s Signature with date: