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Customer Satisfaction Survey Report

Note: Fields marked with * are compulsary fields.
*Company :
 
*Location :
 
*Contact Name :
 
*Department :
 
*Designation :
 
*Phone :
 
*Email :
 
Mobile :
Date :
1. Do you have any problems with our products that you haven't told us about?
A) Quality wise :
Yes No
Specific comments, if any
B) Delivery wise :
Yes No
Specific comments, if any
C) Packing wise :
Yes No
Specific comments, if any
D) Product identification method :
Yes No
Specific comments, if any
2. Is there anything you think we do particularly well? :
3. What could we do in the future that would make your job easier? :
4. If asked, how likely would you be to recommend the company and its products and services:
Not sure Unlikely Likely
5. How likely will you be to buy products and/or services from the company in the future?:
Not sure Unlikely Likely
6. In any course of time did your production hamper due to quality or delivery of our product or services? :
*For verification, type the number from  the image in the textbox below.
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If you need assistance with completing this form, please contact us at (0091-22) 2405 5601 - 06 or email to info@belainstruments.com