A-2 Industrial Estate, Partapur, Meerut, Uttar Pradesh 250103
Customer Satisfaction Survey
Your feedback helps us improve our products & services.
1. Customer Information
(Mandatory)
Company Name
Contact No.
Email
Date
How satisfied are you with our product/service? (Please select one)
1
2
3
4
5
★
★
★
★
★
Description:
1 = Very Dissatisfied 2 = Dissatisfied 3 = Neutral 4 = Satisfied 5 = Very Satisfied
3. Experience Ratings
Please rate the following areas:
Category
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Product / Service Quality
Customer Support
Timeliness / Delivery
Value for Money
Overall Experience
4. Feedback Questions
1. What did you like the most about our service/product?
2. What can we improve?
3. Would you recommend us to others?
Yes
No
4. Additional Comments:
5. Authorisation
Authorised Person Name
Designation
Company Stamp
Company stamp preview
Signature
Signature preview
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