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Surveys

REPAIR EVALUATION FORM

Customer Name / Plant Site: Elliott Reference:
Purchase Order Nº: Equipment Type:

Please respond to the following statements by clicking as appropriate. A score of 5 is considered excellent; a score of 2 is considered unsatisfactory. A score of 1 is not applicable to that particular contract.

Regarding the handling of this particular repair, how would you rate Elliott's performance in the following aspects:

Section I
Characteristics Exceeds Requirement Meets Requirement Needs Improvement Unsatisfactory Not Applicable Comments
A Quotation: issued on-time, fully understandable and complete. 5 4 3 2 1
B Communication with shop personnel: professional and agreeable. 5 4 3 2 1
C Final repair: delivered on time and in accordance with operational needs. 5 4 3 2 1
D Packing and Delivery: standard of protection and packing, shipped per contract. 5 4 3 2 1
E Perception of Quality: as witnessed during shop inspection or receipt at site. 5 4 3 2 1
F Technical Report: Issued on time, content and presentation. 5 4 3 2 1
G Assistance rendered: technical clarifications, explanation of options, shop inspection visit. 5 4 3 2 1
Section II
Would you award repair contracts to Elliott in the future? Yes
No
OR just for Elliott designed equipment? Yes
No
Both for Elliott and non-Elliott equipment? Yes
No
Do you receive Elliott “Update” publication? Yes
No
For our records: (optional)
Name:
Title:
Telephone:
E-mail:

Form GN-MS-FM-011-02-EN

We appreciate the time you have taken to complete this survey. Your input is important and will assist us in reaching our goal of total customer satisfaction. Thank you!