Home Delivery Service Quality Survey
Help us improve your experience by sharing feedback on your recent home delivery.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Order or Delivery Reference Number
*
Delivery Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of your delivery experience:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Timeliness of delivery
1
2
3
4
5
Condition of delivered items
6
7
8
9
10
Professionalism of delivery staff
11
12
13
14
15
Ease of ordering process
16
17
18
19
20
Communication/updates about delivery
21
22
23
24
25
Overall, how satisfied are you with our home delivery service?
*
1
2
3
4
5
Did you experience any issues with your delivery?
*
No issues
Yes, minor issues
Yes, major issues
Other (please specify)
Would you recommend our home delivery service to others?
*
Definitely
Probably
Not sure
Probably not
Definitely not
What did you like most about our home delivery service?
Please provide any suggestions or additional comments to help us improve.
Submit Feedback
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