Technical data

CUSTOMER FEEDBACK
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. Mail to the address on the reverse, or fax to
[phone].
Your Name: Date:
Organization Name: Mettler Toledo Order Number
Address: Part / Product Name:
Part / Model Number:
Serial Number:
Phone Number: ( ) Fax Number: ( ) Company Name of 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.