* 1. Please tell us about you. (Company Name is Required)

* 2. When did you call?

Call Time and Date
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* 3. How long was your wait on hold before speaking with our customer service representative?

* 4. Which customer service representative assisted you?

* 5. How friendly was the customer service representative?

* 6. How helpful was our customer service representative?

* 7. How knowledgeable did our customer service representative seem to you?

* 8. How quickly were we able to resolve your issue?

* 9. Would you like a Customer Service Manager contact you about this call?

* 10. Do you have any other comments, questions, or concerns?

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