Customer Support Form






What type if feed back you want

Is this the first time you have visited the website?

What is the PRIMARY reason you came to the site?

Did you found all what you looking for at the site?

If No , Please specify

Did you find what you needed?

If you did not find any or all of what you needed, please tell us what information you were looking for.

What is your overall impression of the site?


Visually Pleasing?

What is the likelihood that you will visit the website again?

Please add any comments you have for improving the website. We welcome suggestions on specific areas for improvements, features you would like to see added to the site,and examples of what you consider good websites

Customer Satisfaction

Overall, how satisfied were you with the product / service?

Reasons / Comments

Would you recommend our product / service to colleagues or contacts within your industry?

Reasons / Comments

Would you use our product / service in the future?

Reasons / Comments

How long have you used our product / service?

How often do you use product / service?

What aspect of the product / service were you most satisfied by?

What aspect of the product / service were you most disappointed by?

What do you like about the product / service?

What do you dislike about the product / service?

Thinking of similar products / services offered by other companies, how would you compare the product / service offered by our company?


Proj Name

Proj Number

Pruchese Date

what is your complain?


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