Respected Sir / Madam,

As a part of ISO 9001-2000 QMS implementation we would like to solicit your valued judgment with our products / services supplied to you. Please fill the following form with your comments, based on our last supply.

Thanking you & with regards.

Jayesh Tekchandaney – Management Representative
For Unique Mixers & Furnaces Pvt. Ltd.

CUSTOMER SATISFACTION SURVEY FORM

Company Name			Your Name
Your Designation
Your E-Mail Address			Equipment supplied
Your Purchase Order No			Today’s Date
To Be Filled In By Customer
Response to your inquiries / communication:	PROMPT TIMELY DELAYED
Quality of product delivered	EXCELLENT GOOD UNSATISFACTORY
Delivery of product	PROMPT TIMELY DELAYED
After sales service	EXCELLENT GOOD UNSATISFACTORY
Overall Experience	PROMPT TIMELY DELAYED
Suggestions for further improvement :