Customer Review Form

Customer Experience Review Form

LIFT GAMBIA'S BUSINESS REFERRAL NETWORK
Thank you for choosing Lift Gambia's Business Referral Network. We'd love to hear feedback from our customers. Please fill out the form below:

YOU WILL AUTOMATICALLY BE ENTERED INTO THE MONTHLY DRAWING! WIN GIFTS CERTIFICATES FOR SHOWS, FOOD, TICKETS, DINNERS-FOR-2 & more!
NAME OF BUSINESS, PRODUCTS OR SERVICES YOU EXPERIENCED?
Date of Service

Month Day Year
Date
NAME OF BUSINESS You Experienced! Comments, suggestions, or feedback
Customer's Name

First Name Last Name
Customer's Phone Number
Please enter a valid phone number.
Customer's Email
example@example.com

Satisfaction rating about the product or service

	Very Satisfied	Satisfied	Somewhat Satisfied	Not Satisfied
Quality
Customer service
Experience
Price
Cleanliness
Attitude of the staff
Professionalism of the staff
Friendliness of the staff

Did the product or service meet your expectations?

Yes No
What are the things you're satisfied with?
What are the things you were not satisfied with?
Overall rating of your experience!

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
Would you refer us to your friends, family, or colleagues to the business you experienced?

Yes No
Would you refer LiftGambia.com to your friends, family, or colleagues?

Yes No
Would you like to receive email newsletters of Approved Business Members and Promotions?

Yes No
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Customer Experience Review Form