Customer FeedBack Form

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Survey Date

Form No#

Distributor

Name

First

Last

Vehicle SI#

Contact no#

Model

Vehicle Registration No.

Job card No.#

Address

last visit date to workshop

Booking id

Booking

none

Job done

Periodic Service

Warranty

Post warranty

others

Job Description

Page Title

Thinking of your most recent visit, please rate the distributor/dealership on the following questions using 0 to 10 scale shown below

Dissatisfied	Happy	Delighted
0-8	9	10

How much satisfied are you on the overall service experience.

How much satisfied are you with the workshop facilities and amenities?

How much satisfied are you with our service advisor pertaining to the service time and cost estimate adherence and explanation of bill during delivery?

How much satisfied are you with the cleanliness of the vehicle during delivery ?

How much satisfied are you with the quality of repair?

How likely are you to recommend us to your friends and family?

Total Score

Any other Suggestions and feedback?

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