SBM-F-QA-01a/07
26/06/03

PT. SUPRABAKTI MANDIRI

Graha Supra, Jl. Danau Sunter Utara Blok A. No.9 Sunter Jakarta Utara 14350. Telp.(021) 658-33666
website : www.suprabakti.co.id

CUSTOMER SATISFACTION QUESTIONNAIRE

Dear Value Customer,

We would like to be your trusted partner to improve the quality of our products and services, so we expect your participation to fill the questionnaire below completely and truthfully in oder to improve performance. Your participation is appreciated.

The customer satisfaction survey questionnaire can be accessed by clicking the following link https://suprabakti.co.id/angket
For your attention and your cooperation, we thank you.
Customer : Signature
Address :
Name :
Phone No. : Position :
Mobile Phone : Date :
Description Current Condition Condition to be Expected
VG G F LF U VI I IE LI UI
QUALITY
1. Product & services quality.
2. Lifetime of the product.
DELIVERY
1. On time delivery of product / on time schedule of services.
COST
1. The price of product & services offered.
2. Term of payment.
SERVICE
1. Response to answer inquiry.
2. After sales service.
3. The attitude of personnel in handling complaints.
SAFETY & ENVIRONTMENT
1. Personnel awareness to comply with safety procedure.
2. Personnel awareness to maintain work environment.
Sub Total (filled by Suprabakti Mandiri)
Total Value (filled by Suprabakti Mandiri)
Recommendations :

Instruction How to Fill : Put a sign ✔ on the assessment field, in a column :
1. Current Condition 2. Condition To Be Expected.
VG : Very Good (weight 5) VI : Very Important (weight 5)
G : Good (weight 4) I : Important (weight 4)
F : Fair (weight 3) IE : Important Enough (weight 3)
LF : Less Fair (weight 2) LI : Less Important (weight 2)
UN : Un-acceptable (weight 1) UN : Un-acceptable (weight 1)