SDN BHD

CLIENT SATISFACTION SURVEY FORM

Client :

Scope of Work :

Project Name & Reference :

Date of Assessment : _____________________

The following are the criteria of evaluation for measuring the performance of KAS Juruukur Bahan Sdn Bhd for the above
mentioned project. Please indicate your score by circling on the appropriate number for each criteria. Number 20 represent
the highest score and number 0 represent the lowest score.

Criteria Excellent Good Satisfactory Average Poor

1) Service Quality 20 .….... 18 .... .... 15 .... .... 13 .... .... 10 .... .... .... .... 8 ….. ….. 5 ….. ….. 3 .... .... 0 =

2) Pre-Contract 20 .….... 18 .... .... 15 .... .... 13 .... .... 10 .... .... .... .... 8 ….. ….. 5 ….. ….. 3 .... .... 0 =
Services

3) Post-Contract 20 .….... 18 .... .... 15 .... .... 13 .... .... 10 .... .... .... .... 8 ….. ….. 5 ….. ….. 3 .... .... 0 =
Services

4) Professionalism 20 .….... 18 .... .... 15 .... .... 13 .... .... 10 .... .... .... .... 8 ….. ….. 5 ….. ….. 3 .... .... 0 =

5) Responsiveness 20 .….... 18 .... .... 15 .... .... 13 .... .... 10 .... .... .... .... 8 ….. ….. 5 ….. ….. 3 .... .... 0 =

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Total Score

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Comments: ____________________________________________________________________________________________

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Suggestions for Improvement: _____________________________________________________________________________

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Signature : __________________________ Company Stamp:

Evaluated By :

Date :

Doc. Ref. : ……./MAI/CSSF Rev. No. : 0 Issue Date : 01-09-2010