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Customer Service Survey Form
Please take a moment to fill out this survey. Helps improve our services.
4
Questions
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1
Name
*
This field is required.
Mr.
Mrs.
M/S
Mr.
Mr.
Mrs.
M/S
Prefix
First Name
Last Name
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2
Phone Number
*
This field is required.
Please enter a valid phone number.
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3
Overall satisfaction of service
*
This field is required.
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
Behavior
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Service Satisfaction
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
cleanness
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Behavior
Service Satisfaction
cleanness
Very satisfied
Row 0, Column 0
Satisfied
Row 0, Column 1
Neutral
Row 0, Column 2
Unsatisfied
Row 0, Column 3
Very unsatisfied
Row 0, Column 4
Very satisfied
Row 1, Column 0
Satisfied
Row 1, Column 1
Neutral
Row 1, Column 2
Unsatisfied
Row 1, Column 3
Very unsatisfied
Row 1, Column 4
Very satisfied
Row 2, Column 0
Satisfied
Row 2, Column 1
Neutral
Row 2, Column 2
Unsatisfied
Row 2, Column 3
Very unsatisfied
Row 2, Column 4
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4
How can we improve our service?
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