Customer Service Feedback

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Customer Service
Feedback form to President McAtee

Information from this form is used to improve our services and will be sent directly
to the President of the College.
This form will be sent anonymously if you do not complete the Contact Information section,
however it is necessary if you would like to receive a response.

Contact Information: Please provide so we may contact you if necessary.


First Name:
Last Name:
Address:
City:
State:
Zip:
Email Address :
Phone #:
Description of Customer Service Received:
Date of Contact :
Time of Contact :
Location:
Department:
Name of Employee that assisted you:
Describe the service you received:

Please rate the following factors by selecting the appropriate box:
	Very Satisfied	Satisfied	Unsatisfied	Very Unsatisfied
Employee Assistance
Employee Friendliness/Attitude
Employee Knowledge
Employee's Ability to Communicate
Employee professionalism
Timeliness of Assistance
Overall Satisfaction
Suggestions/Comments:

Thank you for your input. Your satisfaction is important to us. We are committed to continually improving our customer service process.