Customer Service Evaluation Form

Documents and evaluates a specific customer service interaction to determine whether the issue was resolved.

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Name

Nombre

Apellido

Date

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Date of Contact/Service

Employee(s) Contacted

How was this contact made?

Phone Email In Person Online Chat

This is a...

Please describe the situation.

Has the problem been resolved?

Yes No

If not, what kind of resolution are you looking for?

What recommendations would you make to the board to help them prevent a similar problem in the future?

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