QUALITY SYSTEM FORMAT Customer Satisfaction Assessment Form -Internal Customers Dated:-------- 1. Name of the Section/Division & Wing: 2. Major Services availed from the section/Division(Names) 3. Period of feedback: 4. Any problem faced/suggestion for improvement: Sl. Technical/Service Rating No. parameters(weight Excellent V. Good Satisfactory Poor age factor) >90% Good 8090% 6079% 40-50% <40% 1 Quality of service (value addition((Q) Whether all the requisite information was provided completely (25%) Clarity of information documents(20%) Any additional relevant information volunteered for help/guidance (10%) Sl. No. Technical/Service parameters(weight Rating Excellent V. Good Satisfactory Poor age factor) >90% Good 8090% 6079% 40-50% <40% 2. Timeliness(T) Was the information/service provided timely (20%) 3. Attitude (A) Whether attitude of persons providing the service was positive.(10%) 4. Knowledge (K) Subject knowledge of service provider(Technical /Admn) (15%) C.S.I.= Qx0.55 + Tx0.2 + Ax0.1 + Kx0.15 (Customer satisfaction index) Name of assessing ___________ Designation _________ Signature _____ Authority
