Debt Collection Call Evaluation Form
Please complete this Debt Collection Call Evaluation Form to review and assess the quality of a recent debt collection call.
Agent Name
*
Call Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Account Reference (non-sensitive)
Call Outcome
*
Please Select
Promise to Pay
Payment Made
Dispute Raised
No Resolution
Call Escalated
Other
Professionalism of Agent
*
1
2
3
4
5
Compliance with Regulations
*
1
2
3
4
5
Communication Skills
*
1
2
3
4
5
Resolution Provided
*
Fully Resolved
Partially Resolved
Not Resolved
Overall Call Rating
*
1
2
3
4
5
Additional Comments
Submit Evaluation
Should be Empty: