Supplier Survey Template

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SUPPLIER SURVEY
Date : xx / xx / 2008
Attention: XXXXXXXXXX
Subject: Supplier Evaluation Questionnaire
Dear Supplier:
In order to satisfy our customer’s requirements it is necessary that we survey our critical
suppliers. Please complete the attached Supplier Evaluation Questionnaire and return to the
undersigned within 10 days of receipt.
Thank you in advance for your support.
Best regards,
??NAME ???
XXXADDRESSXXX
XXXADDRESSXXX
Phone:
XXXX
Fax:
XXXX
Email:
XXXXX
F_008 Rev. NC
SUPPLIER SURVEY
Date : xx / xx / 2008
Attention: XXXXXXXXXX
Subject: Supplier Evaluation Questionnaire
Dear Supplier:
In order to satisfy our customer’s requirements it is necessary that we survey our critical
suppliers. Please complete the attached Supplier Evaluation Questionnaire and return to the
undersigned within 10 days of receipt.
Thank you in advance for your support.
Best regards,
??NAME ???
XXXADDRESSXXX
XXXADDRESSXXX
Phone:
XXXX
Fax:
XXXX
Email:
XXXXX
F_008 Rev. NC
SUPPLIER SURVEY
To be completed by Supplier:
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Website / email Address:
Name of Person
completing this survey:
Title
Extension:
Describe Product or Service Provided:
Supplier Survey Questions:
1) If, Supplier is ISO9001, AS9100, or TS16949 Certified, etc. you do not need to
Yes
No *
complete following questions. Please attach Certificate to this Survey and return.
2) Are Material Safety Data Sheets (MSDS) provided with product (if, requested):
Yes
No *
3) Can your company confirm our Purchase Order via email or fax (if, requested):
Yes
No *
4) Can your company provide Certificates of Conformance including proof of
Yes
No *
conformance to regulatory and statuary requirements (if, requested):
5) Will your company allow our customers or regulatory authorities access to your
Yes
No *
facilities and applicable records (if, requested):
6) Does your Product, or Packaging, or Paperwork indicate Part Number, Description,
Yes
No *
Bar Code, etc. and Quantity:
7) Does your company have a process for handling Customer Corrective Action,
Yes
No *
Customer Complaints, Customer Service, or Technical Support?
* Note: Please explain any NO responses:
Signature
ate:
_____________________________
D
____________________________
Company use only
(
) Recommended as approved supplier
(
) Not recommended as approved supplier
Reason for approval or rejection:
Approved by:
Date:
F_008 Rev. NC

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