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Client Feedback Form: Your Experience Matters To Us!

The client feedback form collects information about a client's recent visit including their name, date of visit, office visited, purpose of visit, and time of visit. It then asks the client to rate their satisfaction with the physical environment, services, personnel, and overall service on a scale from very dissatisfied to very satisfied. Finally, it requests any suggestions, compliments, or comments from the client and thanks them for their feedback to help improve services.

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Queenie Butalid
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816 views1 page

Client Feedback Form: Your Experience Matters To Us!

The client feedback form collects information about a client's recent visit including their name, date of visit, office visited, purpose of visit, and time of visit. It then asks the client to rate their satisfaction with the physical environment, services, personnel, and overall service on a scale from very dissatisfied to very satisfied. Finally, it requests any suggestions, compliments, or comments from the client and thanks them for their feedback to help improve services.

Uploaded by

Queenie Butalid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Client Feedback Form

Client Feedback Form Control.:_________

Your Experience matters to us!


I. Client Information

Name(Optional): _____________________________ Date Visited:________________


Office Visited: ____________________________ Phone No. (Optional): ________________
Purpose of Visit(Please spicify):________________________________________________________
Time Started:_________________ Time Finished:________________

II. Client Satisfaction Rating


Kindly rate the quality of service provided by checking(ü) the appropriate box.

Very Dissatisfied Dissatisfied Neutral Satisfied Very Satisfied

1. PHYSICAL The
environment is clean and orderly

2. SERVICES Your
concern was addressed promptly
and appropriately

3. PERSONNEL The
employee was courteous and
accommodating

* OVERALL RATING FOR


THE SERVICE PROVIDED:
How satisfied are you with
the quality of services provided?

III. Suggestions/ Complements/Comments.

Thank you for your valuable input to help us continuously improve our services!

Privacy Notice:
The personal Information included in this document should only be used for the purposes of administering the survey,
Any personal information included herein may not be used for other perposes aside from those stated above

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