customer feedback form for logistics

Logistics Service Quality Assessment Form

Instructions for Use

• Complete all sections of this form to provide structured feedback regarding your recent shipment or logistics service experience.
• Ensure that the [Bill of Lading / Tracking Number] is accurately recorded to allow for prompt investigation of any service failures.
• Submit the signed document to [Email Address / Department Name] for official processing and record-keeping.

Parties & Definitions

This assessment is provided by [Customer Full Legal Name] (the "Customer") to [Logistics Provider Company Name] (the "Provider") regarding services rendered under the agreement dated [Date of Agreement].

Shipment Reference: [Bill of Lading or Tracking Number] Date of Service: [Date of Delivery or Service Completion]

Operative Terms

1. Service Rating: Please rate your satisfaction with the following categories on a scale of 1 (Poor) to 5 (Excellent):

   • Timeliness of Delivery: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5
   • Condition of Goods upon Arrival: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5
   • Clarity of Communication: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5
   • Accuracy of Documentation: [ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5

2. Incident Reporting: If the service included damages, delays, or discrepancies, please describe the nature of the issue here: [__________].

3. Supporting Documentation: The Customer has attached the following evidence to support this feedback (check all that apply):

   • Photographs of damaged packaging/goods
   • Copy of signed delivery receipt with notations
   • Correspondence logs
   • Other: [__________]

4. Remediation Request: The Customer requests the following action to resolve the identified issues:

   • Formal investigation/Root cause analysis
   • Financial adjustment/Credit request
   • Process improvement consultation
   • Other: [__________]

5. Confidentiality: Both parties agree that the information contained in this form is proprietary and shall be used solely for the purpose of service improvement and dispute resolution between the parties.

Signature & Acknowledgment

By signing below, the Customer confirms that the information provided is accurate to the best of their knowledge.

Signature: __________ Printed Name: [] Title: [] Date: [__________]

Legal Disclaimer: This document is a general framework intended for informational purposes only. It does not constitute legal advice. Please consult with qualified legal counsel to ensure compliance with jurisdiction-specific regulations, contract law, and industry-standard liability limitations.