Customer Satisfaction Questionnaire

Dear Sir/Madam,

We would be grateful if you could spare a few minutes to complete this questionnaire, which forms an integral part of our drive to continuously improve customer satisfaction.

The ‘Comments / Suggestions for improvement’ section is reserved for your comments regarding our current performance and any suggestions you may have that could improve future performance. 

Form 8.2.1-4 Rev B 
QMS Record (Retention 3 yrs) 

Scoring Key

Extremely Satisfied	Satisfied	Dissatisfied	Extremely Dissatisfied	N/A
5	4	3	2	1

(* Denotes Required Fields)

Questions
Response to enquiries and method of communication:	1 2 3 4 5
Technical assistance:	1 2 3 4 5
Delivery to schedule:	1 2 3 4 5
Accuracy and completeness of paperwork:	1 2 3 4 5
Reaction time to complaints:	1 2 3 4 5
Product packaging:	1 2 3 4 5
Comments / Suggestions for Improvement:
Questionnaire Completed By:
Name:
Position:
Company: