Lucid Colloids Limited

Customer Satisfaction Survey Form

Name of Primary Customer:

Name of Secondary Customer, if applicable:

Address:

Name of Contact Person:

Contact Telephone No:

Email ID:

Lucid's Product Category:

Date of Survey:

Lucid's  Market  Region/ Area:

Relation with LCL Since

Customer Feedback on Various Parameters

Customer's Rating (Tick appropriate Cell)

Sl. No.

Parameter

Sl. No.

Parameter

1

Speed of response to business enquiry

Excellent Very Good Good Average Unsatisfactory Not Applicable

6

Quality & Visual appeal of packaging

Excellent Very Good Good Average Unsatisfactory Not Applicable

2

Timely delivery of products

Excellent Very Good Good Average Unsatisfactory Not Applicable

7

Attitude of sales staff

Excellent Very Good Good Average Unsatisfactory Not Applicable

3

Protection against damage in transit

Excellent Very Good Good Average Unsatisfactory Not Applicable

8

Attitude of commercial staff

Excellent Very Good Good Average Unsatisfactory Not Applicable

4

Quality of commercial documents

Excellent Very Good Good Average Unsatisfactory Not Applicable

9

Quality of statement of accounts

Excellent Very Good Good Average Unsatisfactory Not Applicable

5

Product Performance for Intended Use

Excellent Very Good Good Average Unsatisfactory Not Applicable

10

Timeliness of statement of accounts

Excellent Very Good Good Average Unsatisfactory Not Applicable

11

Overall experience with Lucid Colloids

Excellent Very Good Good Average Unsatisfactory Not Applicable

A) Would you like to continue business with Lucid Colloids Ltd?                                      Yes     /   No

B) Are you like to recommend to purchase Lucid's products to other customers?      Yes     /   No

Other comments by Customer, if any

Customer's Signature:

Name:

F-IMS-

Designation :

Rev.

Email ID :

Date