Customer Feedback Form


Capchem Electricals Pvt Ltd prides on the quality of its products and constantly strives to improve the sales and service with better customer satisfaction.

Please indicate your level of agreement, needs and impression with the following statements about your experience with “US”, request your precious minutes to complete this questionnaire:

Pre Sales-service : (Please rate us in terms (1=Poor, 2=Fair, 3= Good, 4 =Very-good, 5= Excellent)

Incase, of quires during the inquiry process :


During Sales Service: (Please rate us in terms (Yes or No)


After Sales Service: (Please rate us in terms (1=Poor, 2=Fair, 3= Good, 4 =Very-good, 5= Excellent)


Please mention below:


Customer Details: