Customer Feedback Form

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Customer Feedback Form

Customer Feedback Form

“Dear Customer, Thank you for visiting us at Branch: . We seek your valuable
feedback about your experience. Help us to Serve you better”

"1 star being POOREST Customer Service and 5 Star being EXCELLENT Customer Service"

Account Number:

Date/Time of Transaction:

Amount:

Transaction Type:

Staff Rating:

Branch Official	Authorizing Official
Name of Employee:	Name of Employee:
5 stars 4 stars 3 stars 2 stars 1 star	5 stars 4 stars 3 stars 2 stars 1 star

Overall Experience with Branch:

Remarks, if any:

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