Touchless Customer Feedback Survey
Touchless Customer Feedback Survey Form
How would you rate your overall experience?
*
1
2
3
4
5
How likely are you to recommend us to others?
*
1
2
3
4
5
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10
How would you describe your service experience?
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Excellent
Good
Average
Poor
Please rate the following key touchpoints:
*
Rows
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Staff friendliness
1
2
3
4
5
Response time
6
7
8
9
10
Ease of process
11
12
13
14
15
Cleanliness
16
17
18
19
20
Communication
21
22
23
24
25
What worked well during your visit?
What could be improved?
Would you like us to follow up with you regarding your feedback?
*
Yes
No
If yes, how would you prefer to be contacted?
Email
Phone
Please provide your email address (if you wish to be contacted):
example@example.com
Any additional comments?
Submit Feedback
Should be Empty: