Customer Service Safety Survey Form
Please share your feedback about safety during your recent customer service experience. Your responses help us improve safety and service quality.
Which type of customer service did you receive?
*
Please Select
In-person at branch
Phone support
Online chat
Email support
Other
How safe did you feel during your interaction?
*
1
2
3
4
5
Did staff follow visible safety procedures (e.g., sanitizing, distancing)?
*
Yes, always
Most of the time
Sometimes
No
Not applicable
Were any potential hazards or safety concerns noticed?
*
No hazards noticed
Yes, minor concerns
Yes, major concerns
If you noticed any hazards or concerns, please describe them:
How would you rate the cleanliness and hygiene of the service area or process?
*
1
2
3
4
5
Did staff respond appropriately to any safety concerns or questions you had?
*
Yes, very responsive
Somewhat responsive
No, not responsive
Did not raise any concerns
How clear were the safety instructions or signage provided?
*
Not clear
1
2
3
4
Very clear
5
1 is Not clear, 5 is Very clear
Do you have any suggestions for improving safety during customer service?
If you would like to be contacted about your feedback, please provide your email (optional):
example@example.com
Submit Feedback
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