CUSTOMER FEEDBACK FORM

Name of the
Organization
Feedback Date
Name of Study
Rating Scale:
1 Highly Dissatisfied/Never consistent/Strongly
2 Dissatisfied/Not Always consistent
agree or disagree
3 Average/Should Improve
4 Proficient/Effective/Still room for improvement/
5 Exceptional/Highly satisfied/Always consistent/ Strongly agree or disagree
Note:
1. Please feel free to provide any feedback that would benefit us We take your comments very
seriously and make sure we sail smoothly in future.
2. Kindly circulate this form amongst your Department for the concerned personnels feedback.
3. We would welcome your suggestions and any other comments that would provide room for
improvement.

Business Development Department

Personnel Providing Feedback (Optional):
Signature of the Personnel:
S.NO
1.

Feedback Topic

2.

Communication and
response time
Quotes

3.

Co-ordination

4.
5.

Provision of Relevant
Documents at Request
Language Proficiency

6.

Clarity in Communication

Rating
1-5

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Comments/Suggestions/Complaints

7.

Professionalism

8.

Overall Quality and

Performance

Clinical Department
Personnel Providing Feedback (Optional):
Signature of the Personnel:
S.NO

Feedback Topic

1.

Study initiation time

2.

Study completion time

3.

Overall Quality and

Performance ( includes all
aspects of the clinic)
Staff Knowledge

4.
5.

9.

Clinical Costing for the

Study
Volunteer Care & Food
Quality
Co-operation with
Monitors
Sample Shipment (as
applicable)
Documentation

10.

Draft Report Time

11.

Delays

12.

Overall Time Adherence

6.
7.
8.

Rating
1-5

Comments & Suggestions

Bio Analytical Department

Rating
S.NO
Feedback Topic
Comments & Suggestions
1-5
Personnel Providing Feedback (Optional):
Signature of the Personnel:
1.

Sample Processing Time

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2.

Bio-Analysis Time

3.

Draft Report Time

4.

Staff Knowledge

5.

HOD/Staff response to
queries raised by the client
Bio-Analytical Costing for
the Study
Delays

6.
7.
8.
9.

Sample Shipment (as

applicable)
Timeline Adherence

Project Management Department

Rating
S.NO
Feedback Topic
Comments & Suggestions
1-5
Personnel Providing Feedback (Optional):
Signature of the Personnel:
1.

4.

Quality/Satisfaction Synopsis and Protocol

Time Slots Provided for
the study
Response to Clients
queries/issues during the
study
Draft Report Timelines

5.

Final Report Timelines

6.

Quality of the Final Report

7.

8.

Incorporation of changes
from the Draft Report into
the Final Report
Statistical Analysis

9.

Other

2.
3.

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Please send the completed forms to any of the below email addresses:
1.
2.
3.
4.

gayathri@questlifesciences.com
info@questlifesciences.com
enquiry@questlifesciences.com
mktg@questlifesciences.com

We very much value your suggestions and comments and vouch for a much more efficient conduct of the
study in future.
Thank you once again for taking time to let us know what you think is best for us.
On behalf of Quest Life Sciences, we thank you for choosing us for this study.
Looking forward to working with you again, in future, at the earliest available opportunity.
Best Regards,
Marketing,
Quest Life Sciences

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