Resource Manual
To be completed by: Sales Department
Purpose: To determine effectiveness of Recall Communication.
F.8 - Effectiveness Check Questionnaire
This is __________________. I am calling from (company) to determine if you were aware of our company’s recall of
(YOUR NAME)
(product description, with codes, and reason). May I please speak with (Key Company Contact)? On (date), we sent
notification to all firms, which may have received this product, stating that all product should be (returned, destroyed,
etc.).
I have the following questions to ask you regarding this recall:
Your Name: _____________________________________________
Title: ___________________________________________________
1. Did your firm receive notification of this recall?
YES




NO

2. Did your firm receive shipments of this product? (if no, terminate questions and close)
YES




NO

3. Do you have any of the recalled product(s) on hand? (please check your inventories before answering)
YES




NO

4. Have you or do you intend to (return, destroy, etc.) associated product?
YES




NO

5. Have you received any complaints associated with this product?
YES




NO

If yes, please provide details: _________________________________________________________________________________________
Signed: __________________________________________________
Date: ___________________________________________________
Reviewed by: ____________________________________________
Date: ___________________________________________________
_______________________________________________________________________________________________________________________________________
Recall Program: Effectiveness Check Questionnaire
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Issue Date: _______________________
Developed by: ________________________________
Date last revised: ________________________________________
Authorized by: ________________________________
Date authorized: _________________________________________