customer satisfaction form

Commercial in confidence

Please complete the form below and press the "submit" button.

Alternatively print out and fax to the Sales Manager on 0117 982 3501 when complete,
or hand to your sales representative,
or post to Anstee & Ware Ltd St Andrews Road Avonmouth Bristol BS11 9HS

customer satisfaction form
Required information labeled with a *
Customer details
* Date:		* Company name:
		* Engineer name:
		* Telephone or contact details:
* Site address:		* Dept:
Post Code:
* Period survey refers to (select one please):
Jan   Feb   March   April   May   June   July   Aug   Sept   Oct   Nov   dec
Section 1 - Please complete this section
* How do you rate our overall service? (please select one)
Poor – 1   2   3   4   5   6   7   8   9   10   – Excellent
Section 2 - voluntary
Collections - How do you rate our collection service? (please select one)
Poor – 1   2   3   4   5   6   7   8   9   10   – Excellent
Delivery - How do you rate our deliveries? (please select one)
Poor – 1   2   3   4   5   6   7   8   9   10   – Excellent
Presentation of work completed? (please select one)
Poor – 1   2   3   4   5   6   7   8   9   10   – Excellent
Are your instructions being followed in full? (please select one)
Poor – 1   2   3   4   5   6   7   8   9   10   – Excellent
Any other comments, suggestions or recommendations?