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Customer Satisfaction Survey - IMS-QAL-04-001-06

Customer Satisfaction Survey


WO / SR No.: …………………… Location: …………………… Area / Bldg. no.: ……………………

Department: ……………………..

Task Description: ………………………………………………………………………………………………………………….

Rating Scale

1 2 3 4
Very Satisfied Satisfied Average Dissatisfied

Customer/Client

S/N Description Rating Score


1 Responsiveness & Promptness to the work request
Courtesy & Professionalism of the staff who completed the work
2
request
3 Completion of task as required

4 Quality of Service Provided

5 Overall Satisfaction with the service provided

Total:

HOD/Line Manager:

Follow up/Actions: ………………………………………………………………………………………………………………...

Remarks/Suggestions: ………………………………………………………………………………………………………………….

Customer Name: …………………………………… Survey By: …………………………

Signature: ……………………………………. Date: ………………………….

SAFARI – QAL Template


Approved: Peter roddam Date: 08 -04-2014
Doc. Owner: QA Head Doc. ID: IMS-QAL-04-001-06 Revision: 00 Page 1 of 1

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