FEEDBACK FORM
A structured form used to collect a respondent's assessment and suggestions regarding a product, service, event or training programme.
Respondent Details
Name (optional): [Name] Contact/Email: [Email] Date: [DD/MM/YYYY]
Regarding: [Product / Service / Event / Training Name]
Please rate the following (1 = Poor, 5 = Excellent):
1. Overall experience: [ 1 ] [ 2 ] [ 3 ] [ 4 ] [ 5 ]
2. Quality of the product/service: [ 1 ] [ 2 ] [ 3 ] [ 4 ] [ 5 ]
3. Staff courtesy and helpfulness: [ 1 ] [ 2 ] [ 3 ] [ 4 ] [ 5 ]
4. Timeliness / responsiveness: [ 1 ] [ 2 ] [ 3 ] [ 4 ] [ 5 ]
5. Value for money: [ 1 ] [ 2 ] [ 3 ] [ 4 ] [ 5 ]
Open questions:
What did you like the most? [Your Answer]
What could we improve? [Your Answer]
Would you recommend us to others? [ Yes ] [ No ] [ Maybe ]
Any additional comments: [Your Answer]
[Name]
How to use: Replace the subject with your product or event name, adjust the rating rows to your context, and keep name/contact optional to encourage honest responses.