Customer Feedback Survey
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1.0  CUSTOMER'S INFORMATION
Company Name
Contact Person *
E-mail *
Full Address
Tel. No. *
Fax. No.
2.0  FEEDBACK ON SERVICES PROVIDED
Parameters and Rating *
(5 being the highest and 0 being the lowest)
5
4
3
2
1
0
Infrastructure, Resources & Technical Competence
Delivery Commitment
Reporting of Calibration Results
Quality of Service
Response to Technical Queries
3.0  FEEDBACK ON OTHER PARAMETERS
(a) Calibration Charges
(b) Your suggestion for service improvement
(c) Does our website give you adequate information about our products and services
Clear selection
(d) Complaint(s), if any
4.0  NAME & TITLE OF THE PERSON COMPLETING THIS CUSTOMER FEEDBACK SURVEY
Name
Title
Date
MM
/
DD
/
YYYY
Signature
Submit
Clear form
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