Mettler Toledo MT User's Guide Page 3

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CUSTOMER FEEDBACK
Your feedback is important to us! If you have a problem with this product, or just a suggestion on how we can
serve you better, please fill out this form and send it to us. Your feedback will help us to improve product
performance, quality and service. If you are in the United States, mail this post-paid form to the address on the
reverse, or fax it to (614) 438-4355. If you are outside the United States, apply proper postage before mailing it
to the address on the reverse side. You can also send your feedback via email to:
.
Your Name: Date:
Organization: METTLER TOLEDO Order Number
Address: Part / Product Name:
Part / Model Number:
Serial Number:
Phone Number: ( ) Fax Number: ( ) Company Name for Installation:
E-mail Address: Contact Name:
Phone Number:
How well did this product meet your
expectations in its intended use?
Comments:
Met and exceeded my needs
Met all needs
Met most needs
Met some needs
Did not meet my needs
PROBLEM:
UNACCEPTABLE DELIVERY: OUT OF BOX ERROR:
Shipped late Wrong item Wrong documentation
Shipped early Wrong part Missing documentation
Shipped to incorrect location Missing equipment Incorrectly calibrated
Other (Please Specify) Equipment failure Other (Please specify)
Comments:
DO NOT WRITE IN SPACE BELOW; FOR METTLER TOLEDO USE ONLY
Retail Light Industrial Heavy Industrial Systems
RESPONSE: Include Root Cause Analysis and Corrective Action Taken.
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