CUSTOMER SATISFACTION SURVEY
Dear Customer, Our goal is to deliver a good service to you. As our customer, your constructive comments would be greatly appreciated in order to help us continuously improve our service to you.
Indicate the degree to which the statements apply to you by choosing the appropriate scale. (1) Very Poor (2) Poor (3) Average (4) Good (5) Excellent
Name/Email (Optional) : Leave your name/email for any feedback
Your answer
Date *
MM
/
DD
/
YYYY
Type of Services
Your answer
BASIC INFORMATION
DEPARTMENT/FACULTY/UNIVERSITY/COMPANY *
Your answer
A. Timeliness & Reliability of Delivery *
Very Poor
Poor
Average
Good
Excellent
On-Time delivery
Respond promptly
Provides accurate info/part/service
Service is there when needed
Short lead time
B. Quality of Product & Services *
Very Poor,
Poor
Average
Good
Excellent
Provides 100% quality products/service
Accepts responsibility of quality works
Request constructive improvement
Positive feedback
Functionality of product
C. Responsive to Customer Needs *
Very Poor
Poor
Average
Good
Excellent
Good listener
Delivers to point of use
Review changes with customer
Competitive cost
Always there when needed
D. Communication with Customer *
Very Poor
Poor
Average
Good
Excellent
Communication clear
Positive attitude
Understand customer needs
Develops new idea with customer
Maintains regular communication
E. Comments by customer
Your answer
F. Visit our website for more information about service provided
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