Peacock from

Customer Review Form
Thank you for choosing our Company. We'd love to hear feedback from our customers. Please fill out the form below:
Date

MonthDayYear
Date
Customer's Name

First NameLast Name
Customer's Phone Number

Country CodeArea CodePhone 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

Customer Review Form