CUSTOMER SATISFACTION SURVEY
Dear Valued Customer, our goal is to be the best supplier of producing high quality products and to provide the best services to you. As our valued customer, your constructive comments would be greatly appreciated in order to help us continuously improve our service to you.
Timeliness & Reliability of Delivery
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Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Fully Satisfied
On-Time Delivery
Responsiveness
Provides accurate info & services
Service is there when needed
Short Lead time
Quality of product & Services
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Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Fully Satisfied
Provides 100% quality products / service
Accepts responsibility of quality works
Request constructive improvement
Positive feedback
Functionality of product.
Responsive to customer needs
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Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Fully Satisfied
Good listener
Delivers to point of use
Review changes with customer
Competitive cost
Is always there when needed
Communication with customer
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Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Fully Satisfied
Communication clear
Positive attitude
Understand customer needs
Develops new idea with customer
Maintains regular communication
Any other comments:
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Appraiser's Name:
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First Name
Last Name
Position:
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Organization:
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Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grand Total Points:
Submit
Should be Empty: