LUCKYANGEL TO U (RA0020243-M) CUSTOMER SURVEY FORM Name *: Date *: Position: Department: Company: Address *: Telephone No *: Facsimile No: Quality Bad Fair Acceptable Good Excellent Quality How did you perceive our products overall quality? 1 2 3 4 5 How did you perceive our products overall quality in comparison to our competitors? 1 2 3 4 5 Delivery How well did we fulfill your delivery schedule? 1 2 3 4 5 How well did we deliver the right products? 1 2 3 4 5 How well did we deliver the right quantity? 1 2 3 4 5 How well did we deliver clear and legible delivery documents? 1 2 3 4 5 How well did we deliver satisfactory packing? 1 2 3 4 5 How well did we communicate to you on delivery delays? 1 2 3 4 5 Services Did our person-in-charge respond in a fast manner? 1 2 3 4 5 How did you perceive the level of service offered by our personnel in terms of knowledge, willingness and ability to solve problems? 1 2 3 4 5 How did you experience our total capacity to solve your problems? 1 2 3 4 5 Pricing Is our price competitive? 1 2 3 4 5 Overall Impression 1 2 3 4 5 Feedback (if any) For Officer Use (Proposed Action) Responsible Person: THANK YOU AND BEST REGARDS