Service Reliability Customer Feedback Form
Help us improve by sharing your experience with our service reliability.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How long have you been using our service?
*
Please Select
Less than 1 month
1-6 months
6-12 months
Over 1 year
How frequently do you use our service?
*
Daily
Weekly
Monthly
Rarely
Please rate your overall satisfaction with the reliability of our service.
*
1
2
3
4
5
Please indicate your level of agreement with the following statements about our service reliability.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The service is consistently available when I need it.
1
2
3
4
5
Service interruptions are rare.
6
7
8
9
10
Issues are resolved quickly when they occur.
11
12
13
14
15
Communication about outages or issues is clear.
16
17
18
19
20
Have you experienced any service interruptions or reliability issues in the past 3 months?
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Yes
No
If yes, please describe the most recent issue you experienced. (If no, you may skip this question.)
How much did the issue(s) impact your ability to use the service?
*
No impact
Minor inconvenience
Moderate impact
Major disruption
Unable to use the service
What improvements would you suggest to enhance our service reliability?
May we contact you for further details about your feedback if needed?
*
Yes
No
Submit Feedback
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