Customer Feedback Effectiveness Measurement Survey
Help us evaluate and improve our customer feedback process by sharing your honest opinions.
Full Name
First Name
Last Name
Email Address
example@example.com
How did you submit your feedback?
*
Website form
Email
Phone call
In-person
Other
How easy was it to provide your feedback?
*
1
2
3
4
5
Please rate the following aspects of our feedback process:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Clarity of feedback form
1
2
3
4
5
Response time
6
7
8
9
10
Staff professionalism
11
12
13
14
15
Resolution of your issue
16
17
18
19
20
How satisfied are you with the outcome after providing your feedback?
*
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Do you feel your feedback made a positive impact?
*
Yes
No
Not sure
How likely are you to provide feedback to us again in the future?
*
Not likely at all
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not likely at all, 10 is Extremely likely
What could we do to improve our customer feedback process?
Additional comments or suggestions
Submit Survey
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