This quick evaluation takes under 3 minutes and helps us refine every step of your journey.
When did the interaction occur?
Which channel did you use?
In-store
Phone
Live-chat
Social media
Mobile app
What was the main reason for contacting us?
Was this your first time contacting us?
What made you reach out for the first time?
Compared with previous experiences, how would you rate this one?
How quickly did we answer your initial request?
Did you experience any hold or queue time?
No wait
Less than 2 min
2–5 min
5–10 min
Over 10 min
If you waited, was an estimated time displayed or announced?
How accurate was that estimate?
Very inaccurate
Inaccurate
Neutral
Accurate
Very accurate
Did you need to re-contact us for the same issue?
What prompted the follow-up?
Please rate our representative on:
Poor | Fair | Good | Very good | Excellent | |
|---|---|---|---|---|---|
Courtesy | |||||
Knowledge | |||||
Clarity of explanations | |||||
Ownership of issue |
Did the representative personalize the interaction (use your name, recall details)?
How could we make the experience feel more personal?
What did the representative do best?
What could the representative improve?
Was your issue resolved?
Fully resolved
Partially resolved
Not resolved
Escalated
Still in progress
Did we meet the promised resolution timeline?
Please explain what happened.
How fair was the outcome you received?
Very unfair
Unfair
Neutral
Fair
Very fair
Were any fees or charges waived or credits applied?
Approximate value:
Which self-service options did you try before contacting us?
FAQ page
Chatbot
Knowledge base
Community forum
Mobile app features
None
Did any digital channel solve your problem?
What prevented it from working?
How intuitive was our website or app interface?
How did you feel right after the interaction?
Did the experience change your trust in our brand?
Has your trust increased or decreased?
Decreased a lot
Decreased
Neutral
Increased
Increased a lot
How likely are you to recommend us to others?
What single word would you use to describe us to a friend?
If you could change one thing about our service, what would it be?
May we contact you about your feedback?
Preferred email or phone:
I consent to my anonymized responses being used for service-improvement analytics
Analysis for Customer Service Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
This Customer Service Evaluation Form is a well-engineered, sub-3-minute survey that balances brevity with depth. It uses branching logic to keep the experience short for most users while still capturing rich qualitative data when needed. The progressive disclosure (e.g., follow-ups only appear if a user answers “yes” or selects a trigger option) reduces cognitive load and abandonment. The form also mirrors the customer journey chronologically—from interaction context through emotional impact—so respondents can mentally “walk through” the event while it is still fresh. Finally, the inclusive wording (“if applicable”, “if you waited”) prevents frustration for edge-case customers who never queued or never used digital channels.
From a data-quality perspective, the mix of closed-scale and open-ended fields yields both quantifiable KPIs (CSAT, NPS, resolution rate) and verbatims that can be mined for sentiment or root-cause themes. Mandatory fields are concentrated on the core service dimensions that every organisation must track (speed, staff behaviour, outcome, loyalty), ensuring the dataset is complete where it matters most. Optional fields act as “amplifiers” that enrich the story without blocking submission, a proven pattern for mobile-heavy audiences.
Purpose: Pinpointing the exact date/time lets the company link feedback to specific shifts, agents, or system incidents, turning anecdotal comments into actionable operational intelligence.
Effective Design & Strengths: An open-ended date/time picker accommodates time-zone differences and avoids restrictive dropdowns. Making it mandatory guarantees every record has a temporal anchor, which is critical for trending and SLA compliance checks.
Data Collection Implications: High-precision timestamps enable cohort analyses (e.g., “average resolution time for tickets opened after 18:00”). However, storing full timestamps requires GDPR/CCPA retention policies to be clearly disclosed; the form’s consent checkbox partially covers this.
User Experience Considerations: Most users can complete this in two clicks on mobile (calendar pop-up), but the lack of format hinting could create minor friction. A placeholder example (“dd/mm/yyyy, 14:30”) would further reduce errors without lengthening the form.
Purpose: Channel identification drives resource allocation—knowing whether customers prefer chat, phone, or social media informs staffing and prioritisation.
Effective Design & Strengths: Single-choice radio buttons prevent ambiguous multi-channel selections and map cleanly to BI dashboards. The option list covers mainstream touchpoints without overwhelming the UI.
Data Collection Implications: A mandatory channel field ensures analysts can segment CSAT by cost-to-serve ratios, revealing which channels deliver the best ROI on satisfaction.
User Experience Considerations: The list order follows declining usage frequency, so most users find their answer quickly. Adding icons next to each option could boost scannability for low-literacy audiences.
Purpose: Capturing intent (track order, return, tech support) powers topic modelling and highlights emerging pain points before they explode into volume spikes.
Effective Design & Strengths: A single-line open text with a concrete placeholder (“e.g., track order…”) nudges users toward concise, normalised phrases that NLP pipelines can classify accurately.
Data Collection Implications: Free-text reasons yield richer nuance than dropdowns, though they require post-processing. Making it mandatory guarantees no blank “intent unknown” rows, which plague many CRM exports.
User Experience Considerations: The field auto-expands on mobile, preventing scroll fatigue. Optional character limits (not present) could curb spam while still allowing full sentences.
Purpose: First-response time is a core CX metric tightly correlated with loyalty; capturing it immediately after the event reduces recall bias.
Effective Design & Strengths: A 5-point digit rating is universally understood, keeps analysis quantitative, and aligns with industry benchmarks like Zendesk’s “first reply time” KPI.
Data Collection Implications: Mandatory scoring produces an unbroken data series for control-charting; outliers can trigger real-time alerts to managers.
User Experience Considerations: The scale appears directly after the channel question, maintaining narrative flow. Colour-coding the stars (green to red) could heighten intuitive recognition.
Purpose: Understanding wait perception explains dissatisfaction even when technical SLAs are met.
Effective Design & Strengths: Pre-defined buckets (“Less than 2 min”, “2–5 min”) standardise responses across channels and eliminate manual entry errors.
Data Collection Implications: Correlating wait buckets with CSAT drop-offs quantifies the cost of understaffing in terms of loyalty, not just SLA breaches.
User Experience Considerations: Users who experienced “no wait” can instantly select the first option, rewarding good service and shortening survey length.
Purpose: The four sub-dimensions (Courtesy, Knowledge, Clarity, Ownership) map directly to coaching scorecards, enabling granular agent development.
Effective Design & Strengths: Matrix rating reduces screen length versus four separate questions while forcing respondents to differentiate strengths, revealing hidden weaknesses.
Data Collection Implications: Mandatory completion yields a full performance vector per interaction, powering predictive churn models that weight each dimension differently.
User Experience Considerations: The 5-point adjective scale (“Poor” to “Excellent”) is cognitively lighter than numeric scales, improving reliability for non-native speakers.
Purpose: Resolution status is the single biggest driver of repeat contacts; capturing it closes the loop between customer perception and internal ticket codes.
Effective Design & Strengths: Options like “Still in progress” acknowledge edge cases, reducing false-negative resolution rates that plague simpler yes/no fields.
Data Collection Implications: A mandatory field ensures every survey contributes to the “fully resolved” KPI, which investors and CX leaders track quarterly.
User Experience Considerations: The wording “your issue” personalises the question, increasing emotional accuracy compared with corporate jargon like “ticket status”.
Purpose: Perceived fairness predicts advocacy even when technical resolution is partial; it captures equity, not just efficacy.
Effective Design & Strengths: A 5-point semantic differential scale avoids neutral midpoint stacking and aligns with academic justice research.
Data Collection Implications: Mandatory fairness ratings highlight policy gaps where process allowed resolution but the customer felt cheated, guiding policy reform.
User Experience Considerations: The question is placed after resolution status, so users answer with full knowledge of the outcome, improving validity.
Purpose: Emotion is a leading indicator of NPS and churn; capturing it in-the-moment avoids memory decay.
Effective Design & Strengths: An emoji-based emotion rating is language-agnostic, mobile-friendly, and faster than Likert scales, keeping within the 3-minute promise.
Data Collection Implications: Mandatory emotional data feeds real-time CX dashboards that colour-code agent teams by sentiment, enabling same-day interventions.
User Experience Considerations: Users engage quickly with visuals, but offering a hover label with text descriptors would aid accessibility for screen-reader users.
Purpose: The 10-point Net Promoter Score is the global standard for loyalty benchmarking and investor reporting.
Effective Design & Strengths: Placing NPS last ensures respondents evaluate the entire experience, not just isolated moments, improving predictive validity.
Data Collection Implications: A mandatory NPS anchors the dataset to an industry-standard metric, enabling external benchmarking and bonus calculations.
User Experience Considerations: The 0–10 scale is preceded by clear labels (“Not at all likely” to “Extremely likely”), reducing scale-use heterogeneity.
Purpose: GDPR/CCPA compliance requires explicit, granular consent for analytics, separate from marketing consent.
Effective Design & Strengths: A single checkbox with plain language avoids legal jargon, increasing opt-in rates while maintaining enforceability.
Data Collection Implications: Mandatory consent ensures the entire dataset can be lawfully processed, preventing costly downstream data-deletion requests.
User Experience Considerations: Users who are privacy-sensitive cannot proceed, but that is by design; the form rightly prioritises legal certainty over completion volume.
Mandatory Question Analysis for Customer Service Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
Question: When did the interaction occur?
Justification: A precise timestamp is the linchpin that links customer perception to operational reality. Without it, the company cannot correlate feedback with staffing levels, system outages, or promotional events, rendering every other response far less actionable. Making this mandatory ensures analysts can build time-series views and detect emerging issues within hours, not weeks.
Question: Which channel did you use?
Justification: Channel data drives workforce allocation and capital expenditure decisions. If optional, resource planners would lack statistically reliable channel-specific CSAT, undermining ROI calculations for chatbot rollouts or phone-centre expansions. Mandatory collection guarantees balanced sample sizes across touchpoints, preventing blind spots that could hide under-performing channels.
Question: What was the main reason for contacting us?
Justification: Intent classification is foundational for root-cause dashboards and predictive routing. An optional field would create a data set riddled with “unknown intent,” crippling automation efforts and inflating repeat contacts. Requiring this question ensures every feedback record can be tagged and trended, enabling proactive fixes for top contact drivers.
Question: How quickly did we answer your initial request?
Justification: First-response time is a contractual SLA in many B2B agreements and a core CX metric industry-wide. A mandatory rating prevents survivorship bias where only extremely happy or angry customers respond, ensuring the mean score reflects the true population and supports penalty or bonus clauses.
Question: Did you experience any hold or queue time?
Justification: Wait perception explains variance in CSAT above and beyond absolute wait minutes. If optional, regression models would suffer from missing data, biasing coefficients and misguiding staffing algorithms. Mandatory capture guarantees every interaction has a wait bucket, stabilising forecasting models.
Question: Please rate our representative on:
Justification: These four matrix items feed directly into quality-assurance scorecards that determine agent bonuses and promotion eligibility. Optional responses would create incomplete appraisals, exposing the company to labour-law challenges. Mandatory completion ensures fair, defensible performance management.
Question: Was your issue resolved?
Justification: Resolution status is the denominator for “first-contact resolution,” a KPI tracked by executive committees and investors. Missing values would deflate the metric, falsely indicating better performance and masking systemic process breakdowns that drive costly repeat contacts.
Question: How fair was the outcome you received?
Justification: Perceived fairness is a stronger predictor of churn than absolute resolution. If optional, retention-propensity models would lose a key feature, degrading their accuracy and leading to mistimed or ineffective save-offers. Mandatory data ensures the model reliably segments at-risk customers.
Question: How did you feel right after the interaction?
Justification: Emotion is captured within minutes of the event, avoiding recall bias that distorts retrospective surveys. Making it mandatory guarantees the sentiment dashboard reflects real-time operational health, enabling same-day interventions that can rescue at-risk customers before they vent publicly.
Question: How likely are you to recommend us to others?
Justification: NPS is a board-level metric used in earnings calls and investor reports. Optional responses would under-represent detractors, artificially inflating scores and exposing the company to shareholder lawsuits if later restated. Mandatory collection ensures audited, defensible figures.
Question: I consent to my anonymized responses being used for service-improvement analytics
Justification: GDPR and CCPA require freely given, informed, specific and unambiguous consent. Making this mandatory aligns with regulatory guidance that analytics must not proceed without clear opt-in, protecting the company from fines and reputational damage while still enabling continuous improvement.
The current form strikes an intelligent balance: eleven mandatory questions cover the universal CX pillars (speed, staff, outcome, loyalty, compliance) while leaving tactical details (agent praise, digital touchpoints, fee waivers) optional. This design maximises analytic rigour without pushing length beyond the promised three minutes. To further optimise, consider conditionally mandating the “estimated time accuracy” follow-up only when wait time exceeds two minutes; this would reduce burden for the majority who experience no wait while preserving rich data for those who do. Similarly, the digital-touchpoints section could auto-skip for in-store or phone-only customers via channel logic, trimming cognitive load.
Finally, reinforce trust by adding a progress bar and real-time validation (e.g., date cannot be future) to minimise errors that force resubmission. Displaying a dynamic counter (“3 of 11 mandatory questions left”) keeps momentum high and sets honest expectations, proven to cut abandonment by up to 18% in mobile CX surveys. Overall, the mandatory footprint is lean yet comprehensive; minor UX refinements will yield higher completion rates without sacrificing data integrity.
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