customer satisfaction survey form

1 Never meets expectations
2 Frequently does not meet expectations
3 More than occasionally does not meet expectations
4 Occasionally does not meet expectations
5 Meets expectations
6 Occasionally exceeds expectations
7 Consistently exceeds expectations
1. Distributor Name*
2. E-mail*
3. Company Name
4. Industrial unit name*
5. Completed date
6. Monthly Consumption (ton)*
7. Annual Consumption (ton)*
8. Consumable grades Name*
9. Geographical Region*
RELATIONSHIP MANAGEMENT
10. TREATS YOU WITH FAIRNESS IN BUSINESS RELATIONSHIP*
11. ASSISTS YOU TO MEET YOUR CUSTOMERS NEEDS:*
12. ACCESSIBILITY OF MANAGEMENT:*
13. EFFECTIVE COMMUNICATION AND CO-OPERATION :*
14. COMMENTS:
PRODUCT
15. ABSOLUTE QUALITY:*
16. CONSISTENTLY ADHERES TO AGREED SPECIFICATION:*
17. PRODUCT PERFORMANCE IN APPLICATION:*
18. QUALITY OF PACKAGING:*
19. COMMENTS ABOUT PRODUCT :
SALES,ORDERING, DELIVERY 
20. UNDERSTAND YOUR BUSINESS NEEDS AND REQUIREMENTS:*
21. ACCESSIBILITY OF CUSTOMER SERVICE OR ACCOUNT MANAGER :*
22. COMMUNICATION OF STOCK (NON-)AVAILABILITY:*
23. EFFICIENCY OF ORDERING PROCESS:*
24. TIMEOUS DELIVERY CONFIRMATION:*
25. PROACTIVE WARNING OF DELIVERY DELAYS:*
26. ACCURACY OF DELIVERY DOCUMENTS:*
27. COMMENTS ABOUT SALES,ORDERING, DELIVERY :
AFTER SALES'  SUPPORT
28. EFFECTIVE RESOLUTION OF COMPLAINTS AND QUERIES:*
29. ON TIME REPLY/ FEEDBACK ON COMPLAINTS:*
30. EFFECTIVNESS OF CORRECTIVE/PREVENTIVE ACTIONS:*
31. COMMENTS ABOUT AFTER SALES' SUPPORT:
ADMIN
32. ACCURATE INVOICES AND STATEMENTS:*
33. RESOLUTION OF ADMIN QUERIES:*
34. COMMENTS ABOUT ADMIN:
CORPORATE IMAGE
35. DOES ARYA SASOL TREAT YOU WITH FAIRNESS & INTEGRITY:*
36. DO YOU PERCEIVE ARYA SASOL AS CUSTOMER FOCUSED:*
37. DO YOU PERCEIVE ARYA SASOL AS SAFETY CONSCIOUS:*
38. DO YOU PERCEIVE ARYA SASOL AS ENVIRONMENTALLY RESPONSIBLE:*
39. COMMENTS ABOUT CORPORATE IMAGE:
40. Do you have any comments or suggestion that would help us improve our quality of customer service?
I am not a robot: