The Quality Assurance Department

Customer Satisfaction Survey Form HDU/SOP/QA/FM05

Introduction:

Our company has decided to adopt a quality management system according to ISO 9001: 2015 and ISO 13485:2016, whose primary focuses are customer satisfaction and patient safety.

We therefore request you to contribute to this cause by stating your comments or remarks. Your constructive criticism shall be a useful guide.

Name of Facility * Please fill in the Facility Name.

How long have you used our products/services? * < 6 months 6 months - 1 year 1 year - 3 years 3 - 5 years >5 years Please fill out this field.

Which of our products/services do you use? (List them, separated with comas) * Please fill out this field.

How would you rate your overall satisfaction with the quality of our products/services? * Satisfied Neutral Dissatisfied Please rate us!

How likely are you to recommend us to a friend or colleague? * On a scale of 1-5 (5 being strongly recommend and 1, being least likely) Please fill out this field.

Any recommendations for improvement * Please fill out this field.

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Thanks for your feedback. We aim to provide excellent products and services for your facility, and your thoughts, ideas, and suggestions play a major role in helping us identify opportunities to improve.

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