Customer Service Evaluation
Thank you for calling our customer service department. Please share your feedback by filling in the information below.
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Date of Call (MM/DD/YYYY)
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Time of Call
Morning
Afternoon
Evening
Night
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Briefly describe the issue that caused you to contact customer service.
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About how long did you have to hold before speaking with a representative?
Didn't have to hold at all
One minute or less
1-5 minutes
6-10 minutes
More than 10 minutes
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From the time you first spoke with the representative, how long did it take to resolve the issue?
It was resolved immediately
Less than a day
1-2 days
3-5 days
More than 5 days
The issue is still unresolved
If your call had to be transfered to another representative or department, were you transfered correctly on the first try?
Yes
No
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Please evaluate the representative you spoke with.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Eager to help
Knowledgeable
Polite
Spoke clearly
Understood my issue
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How many calls to customer service did you have to make before the issue was resolved?
1
2
3
4 or more
The issue is still unresolved
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Overall, how satisfied were you with customer service?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Comments
First Name
Last Name
Address 1
Address 2
City
Postal Code
Phone
Email Address
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Indicates Response Required