SELS FEEDBACK SURVEY

SELS Feedback Survey

We thank you for giving us the opportunity to serve you better. Please help us by taking a few minutes to tell us about the service that you have received. We appreciate your business and want to make sure we meet your expectations. SELSD/Quality Systems/9650-QSF02-030118/Issued by QS

Date
Date or approximate date relating to your feedback event
Date Format: MM slash DD slash YYYY
Check the box below that describes the type of feedback you with to leave us. This helps us route your comments to the proper person. You can provide details in the boxes below this section.
- Feedback - Positive: Tell us something good that we did
- Suggestion or Recommendation: Tell us about a good idea that you have that may help us better serve you.
- Feedback - Negative: Tell us something you were not happy with.
- Dispute and Appeals: Tell us about a situation in which you disagree with our decision and wish to have a neutral party investigate further.
- Complaint: Tell us about a situation where you felt that we failed to meet your needs or expectations and we will investigate what happened and attempt to resolve the situations.
What does your feedback pertain to:
Please proved feedback:
What kind of resolution would you like to see:
Would you like to be contacted by a manager?
- Yes
- No
If yes, please provide information below
Name
First Last
Phone
Email

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SELS FEEDBACK SURVEY

SELS Feedback Survey