The purpose of this paper is to measure a Six Sigma implementation that combines quality acceptance with quality management. The paper begins with a review of the literature on Six Sigma and its key factors, followed by the development of a theoretical framework for its application a Taiwanese firm. Conclusions are then drawn based on an analysis of the survey results, and practical recommendations based on these are then presented to business managers. The value of the paper is that the results show that each organization has a unique management position when initiating a Six Sigma project, and firm should be able to achieve better management decisions via the adjustment of Six Sigma factors.