DISTRIBUTOR FEEDBACK FORM

Name of the product used

Date

HOW DO YOU RATE THE FOLLOWING IN AMPL PRODUCT (Please mark √ in the desired grading)

PARAMETERS	GRADING
Product Performance	Very Good	Good	Needs Improvement	Please elaborate, If needs improvement
Quality
Perfromance
Storage

Product Presentation

PARAMETERS	GRADING
Product Presentation	Very Good	Good	Needs Improvement	Please elaborate, If needs improvement
Packaging
Instruction for use
Brochures
Catalog
Product Range

Service

PARAMETERS	GRADING
Product Service	Very Good	Good	Needs Improvement	Please elaborate, If needs improvement
Promptness in attending
Availability of Products
Adherence to delivery schedule
Delivery method
Resolving complaints
Clarity in information supplied
Price competitiveness

Receipt of the Product

Product Receipt	Yes	No
Did you receive the product undamaged
Did you encounter any deficiency of components
Other (specify)

Name * Mobile/Tel. No. *

Address *

E-mail ID *

Signature of the customer/ User/Our/ Field representative/ Dealer *

Submit