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Customer Feedback Form

myContactForm.com makes it very easy to build a customer feedback form like the sample form below. The form below is available as a template when using the myContactForm.com form wizard which can be customized to meet your specific needs. The form wizard walks you through the entire process of building the form and then outputs a snippet of HTML code for you to place on your web site. No special servers or programming required! Additionally, you can use myContactForm.com to create 100% customizable forms. To get started, sign up for your free account here.

E-mail Address: *
How would you rate your opinion of our company? *Very High
High
Neutral
Low
Very Low
How would you rate the knowledge of the staff? *Very Knowledgable
Knowledgable
Neutral
Unknowledgable
Very Unknowledgable
How reasonable do you find our costs/ rates to be? *Very Reasonable
Reasonable
Average
A Big High
Unreasonable
How would you rate our professionalism and courtesy? *Very Professional
Professional
Neutral
Unprofessional
Very Unprofessional
Please rate the appearance of our store. *Excellent
Good
Fair/ Adequate
Poor
Terrible
How willing are you to recommend our company to others? *Very Willing
Willing
Neutral
Unwilling
Very Unwilling
Feel free to share any comments or suggestions you may have.
Are there any products or services we don't currently carry that you would like to see?

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