Vendor Reference Check Form
Client Information
Contact Person
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company Name
Job Title
Vendor Services
1. Please describe the service that the vendor has provided to you.
2. Please briefly explain why you selected this vendor.
3. To what extent, do you use the vendor's service/technology?
Service Started
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Service Ended
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
4. Please rate the vendor services according to following issues.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Meet requirements/expectations
1
2
3
4
Stay within the budget or timeline
5
6
7
8
Implementation process and team
9
10
11
12
Partnership
13
14
15
16
Cooperation
17
18
19
20
Communication
21
22
23
24
5. Overall satisfaction:
1
2
3
4
5
6. Would select again or recommend this vendor?
Yes
No
Please briefly explain why not.
Submit
Should be Empty: