DOC NO.

: FB/F-01C
ISSUE STATUS : 03
DATE OF ISSUE : 24.01.2008
PAGE NO. : 1 of 1

CENTRAL INSTITUTE OF PLASTICS ENGINEERING & TECHNOLOGY

GUINDY, CHENNAI – 600 032.

Centre :CIPET:PALAKKAD Department :VTC/STC

CUSTOMER SATISFACTION FEEDBACK FOR SHORT TERM/TAILOR MADE
You are requested to furnish your views/opinions/suggestions, as appropriate, about the training programme, which
you have undergone at CIPET:PALAKKAD in order to facilitate us to improve further.

Title of the course

Duration/Period From : To :
Name of the Co-ordinator
Participant’s Name
Profession/Designation
Organisation represented

Section - A
Objective of attending the programme:…………………………………………………………………………….
…………… ……………………………………………………………………………………………………………

How do you come to know about the programme: Website Mailer

Advertisement.: Other (Pl. specify)

S. Low / Very Low /

Particulars Very high High Adequate
No. Less Very less
1. Usefulness of Programme
2. Duration of programme
3. Course contents
4. Meeting your objectives
5. Proportionate coverage on
Knowledge/Skill

Section – B
Please rate CIPET performance on the following services provided
S. Excellent Very Good Good Satisfactory Poor
Particulars
No. (10) (8) (6) (4) (2)
1. Quality of Presentation/
Course Materials
2. Faculty Effectiveness
3. Training Methodology
4. Course Planning/
Coverage/Schedule
5. Training Hospitality

Have your been benefited out of this programme Yes No

(Please justify your answer)

Would you recommend others to attend similar course: Yes No

Your Suggestions:(You may use the rear page if required)

Date: Signature
For office use

PREPARED BY APPROVED BY ISSUED BY

SIGNATURE

DESIGNATION