Customer Debrief Form
Please select the service you have taken
Please Select
Service 1
Service 2
Service 3
Service 4
Please briefly describe the service from your point of view
Please rate the value we offer relative to the price?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please rate how satisfied you are with each of the statements.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Not Applicable
Timing
1
2
3
4
5
Features and functionality
6
7
8
9
10
Technical solution
11
12
13
14
15
Management plan
16
17
18
19
20
Politics
21
22
23
24
25
Positioning
26
27
28
29
30
Contract issues
31
32
33
34
35
Price
36
37
38
39
40
How would you rate the quality of our relationship with the customer?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please write your thoughts about what we did well and what we should do differently in the future.
Do you have any additional comments or suggestions for us?
Name (optional)
First Name
Last Name
Email (optional)
example@example.com
Submit
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