Product Quality/service Evaluation Form

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Product Quality/Service Evaluation Form
Date: ___________________________________ Submitted by: ___________________________________
Vendor Name:____________________________ Representative: _________________________________
Product Name: ____________________________ Product #: ______________________________________
Delivery Date: _____________________
P.O. #(s) _______________________________________
QUALITY EVALUATION
Unsatisfactory
Product/Service Delivery:
- Satisfactory
IF UNSATISFACTORY, PLEASE CHECK THE APPROPRIATE BOXES:
Item(s) delivered late _________________________
(how late)
Over-shipment
_________________
(amount over)
Under-shipment __________________
(amount under)
Excessive Backorders
Item(s) delivered broken/damaged
Item(s) incorrectly labeled
Unauthorized Shipment(s)
Service Unsatisfactory (explain)
____________________________________________________________
Explanation:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Product/Service Quality:
Excellent
Good
Fair
Poor
_____________________________________________________________
Explanation:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Supplier Invoicing:
Excellent
Good
Fair
Poor
____________________________________________________________
Explanation:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
__________________________________________
General Comments/Recommendations:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

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