VIMTA LABS LTD.

Form 24/GEN/25 - CSF

Issue No.: 5.0
Page 1 of 3
VIMTA LABS LTD
CUSTOMER SUGGESTION/ FEED BACK FORM
(FOR CLINICAL REFERENCE LABORATORY)
It is always our endeavor to continuously improve the quality of services we provide. Kindly spare a few
minutes of your precious time to fill this form. Drop the completed form in suggestion / complaint box
available at any of our collection centers or hand over to the VIMTA sales representative or send to below
mentioned address by mail. Your feedback is very important to us and will help us to serve you better.

Name of the Customer/ Organization:________________________________________________________

Collection Center Name (If any) : ________________________________________________________

Referring doctor/ lab (Person) : ________________________________________________________

Address : ________________________________________________________

________________________________________________________

________________________________________________________

Phone No. : ________________________________________________________

e-mail: : ________________________________________________________
 VIMTA LABS LTD.

Form 24/GEN/25 - CSF

Issue No.: 5.0
Page 2 of 3
Please tick ( ) the most appropriate option in your opinion.

1) How will you rate the quality of services offered by VIMTA Labs?

Poor Fair Good Excellent

2) How do you rate the presentation of our reports?

Poor Fair Good Excellent

3) Do you get reports in time (as conveyed at the time of collection)?

Yes No

4) When reports get delayed are you informed in time?

Yes No

5) Rate the quality of consultative services offered by technical departments?

Poor Fair Good Excellent

6) How will you overall rate VIMTA as compared to our competitors?

Poor At par Better

7) How will you rate VIMTA’s customer support services/ Helpline?

Poor Fair Good Excellent

8) Would you continue to utilize VIMTA services in future?

Yes No

9) Would you recommend VIMTA to your family members and friends?

Yes May be No
 VIMTA LABS LTD.

Form 24/GEN/25 - CSF

Issue No.: 5.0
Page 3 of 3
10) Any VIMTA employee you would like to make a special mention off, and the reason?
Name: ____________________ Company/ PSC employee: _______________
Location: __________________
Reason:
_____________________________________________________________________________________
___________________________________________________________________________________

11) Any other comments / suggestions:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________________

Date: Signature:

Quality Assurance,
Vimta Labs Ltd.,
Vimta Life Sciences,
Plot No 5, S.P.Biotech Park, Genome Valley, Shameerpet,
Hyderabad- 500 078, India.
Phone: +91-40-39848484, E-mail: quality@vimta.com
For any further information please contact our HELP LINE: 040-39847799