Service Customer Feedback

Name (OPTIONAL)

Contact Phone (OPTIONAL)

E-mail Address (OPTIONAL)

State

What was the name of the Representative who assisted you?

Item # / Item name

What type of Customer are you?

How would you rate your customer service experience?

If you are dissatisfied, why?

What was the reason for contacting customer service?

How many times did you contact Customer Service before your situation was resolved?

About how long did it take to get the problem resolved?

Were you satisfied with the resolution of the problem?

What could we do to improve our customer service?