Support Interaction Evaluation Form
Please provide your feedback about your recent support interaction to help us improve our service.
Support Agent Name
*
First Name
Last Name
Date of Support Interaction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Support Channel
*
Please Select
Email
Phone
Live Chat
In-person
Other
How would you rate the following aspects of the support interaction?
*
Rows
Poor
Fair
Good
Very Good
Excellent
Agent's communication skills
1
2
3
4
5
Agent's professionalism
6
7
8
9
10
Agent's knowledge/expertise
11
12
13
14
15
Timeliness of response
16
17
18
19
20
Problem resolution
21
22
23
24
25
Overall satisfaction with the support received
*
1
2
3
4
5
Was your issue resolved during this interaction?
*
Yes
Partially
No
How likely are you to recommend our support service to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely, 10 is Extremely likely
What did you like most about the support interaction?
What could be improved in our support service?
Additional comments or suggestions
May we use your feedback (anonymously) for training or promotional purposes?
*
Yes, you may use my feedback anonymously.
No, please keep my feedback confidential.
Submit Evaluation
Should be Empty: