Customer Satisfaction Feedback Forms

Customer Satisfaction Feedback Forms

Customer satisfaction feedback forms help business people know and build their customers’ loyalty. Customers will appreciate the fact that their opinions and concerns are taken into consideration. Customer feedback forms should be easy and fast to fill while gathering as much information from the customers as possible.

Customer Details

Contact Details (optional)

Name___________________________

Address _________________________

Phone __________________________

E-mail__________________________

Are you male or female?

? Male  ? Female

Tick the appropriate age group that applies to you

? 15-25 ? 26-35 ? 36-50 ? 51-65 ? 66 and above

Are you a first time or regular customer?

? First Time  ? Regular

Please rate the following questions using the scale below

1 Excellent 2 Good  3 Satisfactory  4 Poor

Staff

1.How attentive was our staff to your needs? _______________

2.Was the staff courteous and polite to you?_________________

3.Was the staff efficient? _______________________

4.Did our products meet your needs? ____________

5.Rate the overall ambience of the company?  ______________

6.Would you need future help from the company? ? Yes ? No

7.What kind of help would you need? ?Technical ? Support  ?Informational

8.Will you make a return visit? ? Yes ? No

9.What is your overall experience at our company? ________________

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