Customer Survey Form


                 From (Company)   :  
                 Email Address   :  
                 Name   :    
  
Please select one rating for each of the following questions.
1. How would you rate the overall service that you received from us ?
  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 
2. How would you rate our delivery ?
  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 
3. How would you rate the overall quality of our product/service?
  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 

4. Do you find it easy to contact us ?

  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 

5. How would you rate our response to your feedback/enquiry ?

  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 

6. How would you rate our service related to field returns, recalls, and warranty ? (where application)

  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 

7. How would you rate our response to the business disruption incident ?

  Poor Satisfied Good Very Good Excellent Neutral
ALLIED
Your Preferred Supplier

Comments/Suggestions (if any):
 

8. Generally does our company

 Exceed your expectation  Meet your expectation  Not meet your expectation
 

9. Any other area(s) for improvement so that we can serve you better ?