Complaint Response Time Tracking Form

Complaint Response Time Tracking Form
Log complaints, monitor response milestones, and evaluate resolution efficiency.
Complainant's Full Name*
First NameLast Name
Complainant's Email Address*
example@example.com
Complainant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date and Time Complaint Was Received*
MonthDayYear
Date
Hour MinutesAM/PM Option
Complaint Category*
LowMediumHigh
Complaint Description*
Date and Time of First Response*
MonthDayYear
Date
Hour MinutesAM/PM Option
Date and Time of Resolution*
MonthDayYear
Date
Hour MinutesAM/PM Option
Staff Member Assigned to Complaint*
How would you rate the timeliness of the response?*
Additional Comments or Feedback on the Complaint Handling Process
Should be Empty: