Egba Split-Clamps Limited

Form 127: Client Feedback

Name of Customer:..
Title of Contact/Project:
Date:
We would appreciate it if you could take time to answer the following questions in order for us to
assess and improve the services provided to you.
Please tick as appropriate and make any comments. If selecting Below Average or less please state
why in comments.
1.

Was the completed task / job:

Exceeded expectations
2.

Poor

Unsatisfactory

Good Above Average

Below Average

Poor

Unsatisfactory

How would you describe our abilities to satisfy your companys needs?

Exceeded expectations
4.

Below Average

How would you describe our general service abilities?

Exceeded expectations
3.

Good Above Average

Good Above Average

Below Average

Poor

Unsatisfactory

Would your company use ESCL in the future if required?

Definitely

Probably

Not likely (please comment)

5.

What can ESCL do in order to improve our services to you?

6.

Any other comments: (please continue on back of form if necessary)

Signed (client):

Date:

Title:

Date:

Title:

Reviewed for ESCL:

Signed:

Note: Negative client comments and feedback are logged in Form 110.
Thank you for taking time to fill out this form. If you have any issues you would like to discuss,
please do not hesitate to contact us.
Form 127, Rev. 0, 12th Nov, 2012

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