CUSTOMER SERVICE FEEDBACK FORM

1. Which service was required today?
2. Were your expectations met?
3. Were you served within a reasonable time-frame of 15 minutes?
4. Were you satisfied with the payment process/cashier?
5. Was/Were your transaction(s) completed with ease?
6. On a scale of 1-5, with 1 being the lowest and 5 the highest, how would you rate the level of service you received today? Please check the correct number?
7. Were you provided with accurate, understandable and relevant information related to the services provided by the Ministry?
8. Which would you rate as the best aspect of your transaction?
9. Did you have any concerns about the service you received?
10. Please provide any recommendations you may have on how we might better serve you.
Client’s Name