Customer Feedback Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Comments and Points Raised

• What is your level of satisfaction with our products 1 being the lowest and 6 being the highest ?

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Comments:

• Was the production run completed within an acceptable time frame ?

  Yes

  No

  N/A

• Comments:

• Could you suggest any way in which we could have improved our products or service ?

  Yes

  No

  N/A

• Comments:

• Thank you for your time and valuable feedback.

• Name of customer representative completing survey

  Sign