Customer Satisfaction Survey Form

Customer Satisfaction Survey Form
Customer Information
Full Name
First NameMiddle NameLast Name
Phone Number
Area CodePhone Number
Email
example@example.com
Company
Customer Satisfaction
Please rate from 1 to 5 on the mentioned survey parameters. *
Poor = 1 ; Acceptable = 3 ; Excellent = 5
This questionnaire is issued on a rating system from 1(poor) to 5 (excellent), 3 being an acceptable level of service. Please select the number, which most accurately reflects your satisfaction level.
Product Supplies in accordance with specifications.

1 2 3 4 5
1 is Poor, 5 is Excellent
Response to the Enquiry.

1 2 3 4 5
1 is Poor, 5 is Excellent
Availability of relevant manuals/test reports along with products

1 2 3 4 5
1 is Poor, 5 is Excellent
Communication of required information

1 2 3 4 5
1 is Poor, 5 is Excellent
Quality of service provided

1 2 3 4 5
1 is Poor, 5 is Excellent
Hospitality extended

1 2 3 4 5
1 is Poor, 5 is Excellent
Response to your request/variations

1 2 3 4 5
1 is Poor, 5 is Excellent
Response to the problems/complaints

1 2 3 4 5
1 is Poor, 5 is Excellent
Delivery performance

1 2 3 4 5
1 is Poor, 5 is Excellent
Value for money

1 2 3 4 5
1 is Poor, 5 is Excellent
Suggestion for improvement
Should be Empty:

Customer Information