Complaint Handling Experience Form
Please share your feedback on how your complaint was handled to help us improve our service.
Full Name
First Name
Last Name
Email Address
example@example.com
Date of Complaint
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Department or Team Handling Your Complaint
*
Please Select
Customer Support
Technical Support
Billing
Sales
Other
Nature of Your Complaint
*
Please Select
Product Issue
Service Issue
Staff Conduct
Billing/Payment
Other
How satisfied are you with the way your complaint was handled?
*
1
2
3
4
5
How would you rate the timeliness of the response?
*
1
2
3
4
5
How would you rate the professionalism of the staff involved?
*
1
2
3
4
5
Was your complaint resolved to your satisfaction?
*
Yes
Partially
No
Additional Comments or Suggestions
Submit Feedback
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