A simple survey template to gather customer feedback on service satisfaction and areas of improvement.
Please take a few minutes to complete this customer feedback survey. Your responses will help us evaluate and improve our services. We highly value your insights and appreciate your time.
Name: {name}
Email: {email}
Phone Number: {phone}
Date of Visit/Interaction: {dateOfVisit}
How satisfied were you with our service?
{satisfactionRating}
What did you like most about our service?
{likedMost}
What areas do you think we could improve?
{improvementAreas}
Would you recommend our service to others?
{recommendation}
Additional Comments:
{additionalComments}
Staff Member Name | Interaction Type | Comments |
---|---|---|
{#staff}{name} | {interactionType} | {comments}{/staff} |
{#serviceUsed}
{/serviceUsed}
Please rate your overall experience from 1 to 5:
{overallRating}
Would you like us to follow up with you?
{followUp}
{#followUpContact}
Preferred Contact Method: {contactMethod}
Best Time to Contact: {contactTime}
{/followUpContact}
Thank you for your feedback!
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