MPI-Q-F- QA- CSR-01

Issue Date : 01.08.22

Rev. No. : 00
MACHINTORG INDIA PVT LTD
Issue No. : 01

CUSTOMER SATISFACTION SURVEY FORM

Customer Name : ……………………………………………………………………………………

Address : …………………………………………………………………………………….

Telephone Nos. : …………………………………………………………………………………….

E -Mail : …………………………………………………………………………………….

Contact Person : ……………………………………………………………………………………..

Products purchased : ………………………………………………………………………………….

Date: ……………………
Dear Customer,

To help us understand how well we are meeting your expectations, we would request you to fill this
brief questionnaire. We thank you for your time.

1. To serve your need better we would like to know how important are each of these factors to
you personally (please tick one box for each item):

Item Unimportant Important Very important Critical

(0 – 39) (40 - 59) (60 - 79) (80 - 100)
1. Product quality
2. Product pricing
3. Delivery lead time
4. On-time delivery
5. Reputation of vendor
6. Faster response to request
for a quotation
7. After sales support
2. Please give us feedback regarding your experience with our sales personnel:

Item Poor (0 – 39) Average (40-59) Good (60– 79) Excellent (80-100)
1. Product knowledge
2. Helpful attitude
3. Promptness and
accuracy of quotes
4. Competitive pricing

QMR-Q-F-PR19-001/V-001/W.e.f.: 01-Oct-2015 Page No: 1

 MPI-Q-F- QA- CSR-01
Issue Date : 01.08.22
Rev. No. : 00
MACHINTORG INDIA PVT LTD
Issue No. : 01

CUSTOMER SATISFACTION SURVEY FORM

5. Fulfilling the
commitments made
6. Products delivered on
schedule

3. Please give us some feedback regarding your experience with quality of our product:
Product / Service
Characteristics Poor (0 – 39) Average (40-59) Good (60– 79) Excellent (80-100)
1.
2.
3.
4.
5.

4. Do you have any suggestion for improvement of our product / service ? (Please write in the box)

5. How do you find our product / service quality in the last year compared to previous years ?

 Declined  No change  Improved  Improved significantly

6. What changes can we expect this year in the business from you?

 Less than last year  Same as last year  More than last year

Please put your sign and company seal below and return the form at the earliest for our analysis.

QMR-Q-F-PR19-001/V-001/W.e.f.: 01-Oct-2015 Page No: 2