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?



  Very
 Satisfied 
 Satisfied 
 Neutral 
 Dissatisfied 		 Very
 Dissatisfied 
Knowledge and competence
Managing your needs/requests
Professionalism
Courtesy
Friendliness
Willingness to help
Overall performance

What could we do to improve our customer service?