Internet
Feedback Form
 
Customer Name *                  Contact No *
Concerned person *    
Address *    
Type of Service *                  Bandwidth *
Feedback of month *    
Problem reported *    
Solution Given *    
Customer Remarks *    

Customer Satisfaction Level with *
1. Performance Poor
Average
Good
Excellent
2. Service Poor
Average
Good
Excellent
3. Response Time Poor
Average
Good
Excellent
4. Executive's Response Poor
Average
Good
Excellent