Customer Review Form

StarCredit Customer Review Form

Tell us about your experience for 15% OFF your next order!
Thank you for choosing ABC Company. We'd love to hear feedback from our customers. Please fill out the form below:
Date

MonthDayYear
Date
Customer's Email (For 15% OFF Next Purchase)
yourname@gmail.com

Satisfaction rating about the product or service

	Very Satisfied	Satisfied	Somewhat Satisfied	Not Satisfied
Quality
Customer Service
Experience
Price

Did the product met your expectations?

YesNo
What are the things you're satisfied with?
What are the things you're not satisfied with?
Overall rating

1

2

3

4

5

6

7

8

9

10

1 is Worst, 10 is Best
Comments, suggestions, or feedback
Would you refer us to your friends, family, or colleagues?

YesNo
Would you like to receive email newsletter about our products?

YesNo
Please verify that you are human*
Should be Empty: