ISO 13485 Customer Feedback Log
Submit, track, and manage customer feedback in compliance with ISO 13485 quality management standards.
Customer Full Name
*
First Name
Last Name
Customer Email Address
*
example@example.com
Customer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Feedback
*
-
Month
-
Day
Year
Date
Product Name or Model
*
Product Serial/Lot Number
Type of Feedback
*
Complaint
Suggestion
Praise
Inquiry
Other
Describe the Feedback or Issue
*
How was the feedback received?
*
Email
Phone
In Person
Online Form
Other
Severity/Impact Assessment
*
Critical (Safety/Regulatory Impact)
Major (Affects Product Performance)
Minor (No Significant Impact)
Attach Supporting Documents or Images (if any)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Actions Taken or Planned
Responsible Staff/Department
Follow-up Status
*
Open
Under Investigation
Closed
Submit Feedback
Should be Empty: