CUSTOMER SATISFACTION SURVEY

Name: Middelburg Branch
Address: Middelburg, Mpumalanga, ZA
Telephone: +27661404605

DateContract numberClientCommencement dateOrder noCompletion date

Please complete the form below and rate us on the product or service supplied to you.

5 — EXCELLENT4 — GOOD3 — CAN BE IMPROVED2 — POOR1 — UNACCEPTABLE

	Question	1	2	3	4	5
A	Was the product / service supplied as per delivery date requirements?	A score 1	A score 2	A score 3	A score 4	A score 5
B	Was the product / service supplied as per scope of work?	B score 1	B score 2	B score 3	B score 4	B score 5
C	Are you satisfied with the quality / service of the product provided?	C score 1	C score 2	C score 3	C score 4	C score 5
D	Were all the relevant documents supplied as per requirements?	D score 1	D score 2	D score 3	D score 4	D score 5
E	Was there sufficient and effective communication during the processing of the service?	E score 1	E score 2	E score 3	E score 4	E score 5
F	Were you satisfied with the conduct of personnel with whom you interacted?	F score 1	F score 2	F score 3	F score 4	F score 5

For any rating below 4, a remark is required.

Remarks

Completed by customer representative

Name and surnameDesignationDate

BAOFN Compressor South Africa Pty Ltd · Form-14 Rev 00