Thank you for taking a few minutes to evaluate your most recent customer-service experience. Your honest feedback drives real improvements.
When did the interaction start?
Which channel did you use?
Live chat on website/app
Phone call
Social media direct message
In-person
Video call
Community forum
Other:
What was the main reason for contacting us?
Was this your first time contacting us about this issue?
Approximately how long did the entire interaction last (in minutes)?
Please rate the representative on the following aspects:
Very poor | Poor | Fair | Good | Excellent | |
|---|---|---|---|---|---|
Friendliness and courtesy | |||||
Professionalism | |||||
Product or service knowledge | |||||
Listening skills | |||||
Clarity of explanations | |||||
Speed of assistance | |||||
Ownership of the issue |
Did you feel the agent understood your emotions (frustrated, confused, satisfied)?
Overall, how would you rate the representative?
What was the outcome of your interaction?
Fully resolved
Partially resolved
Referred to another team
Escalated to supervisor
Not resolved
Still in progress
Did you receive any follow-up communication after the initial interaction?
Were promised deadlines met?
Evaluate the following accessibility factors:
Very difficult | Difficult | Neutral | Easy | Very easy | |
|---|---|---|---|---|---|
Ease of finding contact options | |||||
Waiting or queue time | |||||
Navigation of menus or IVR | |||||
Availability of self-service tools | |||||
Language options offered | |||||
Support hours convenience |
Did you require an interpreter or accessibility accommodation?
On a scale of 1–10 (1 = Extremely Difficult, 10 = Extremely Easy), how effortless was it to get help?
Which of the following hindered your experience? (select all that apply)
Unclear policies
Limited product information
Inconsistent answers between agents
Repetitive verification steps
Lack of refund/exchange options
None of the above
If you could change one policy or product feature, what would it be and why?
Did the agent offer any proactive tips or resources you were unaware of?
How did you feel immediately after the interaction?
Did this experience change your perception of our brand?
Net Promoter Score: How likely are you to recommend us to a friend or colleague? (1 = not at all, 10 = extremely likely)
Would you return to us for future purchases or support?
How does our service compare with competitors you have used?
Much worse
Slightly worse
About the same
Slightly better
Much better
Haven't used competitors
Rank the following in order of importance when choosing a support provider (drag to reorder)
Speed of response | |
Knowledge of staff | |
24/7 availability | |
No-fee service | |
Personalized experience | |
Multiple contact channels |
Share any standout positive or negative experiences with competitors that we could learn from:
What new service or feature would make your life easier?
I would like to receive updates on improvements I suggested
Optional: Customer reference or ticket number (for us to link feedback)
May we contact you for clarification on any responses?
I consent to the use of my anonymized feedback for training and quality-improvement purposes
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.
The Customer Service Evaluation Form is a comprehensive, multi-dimensional instrument that goes far beyond typical “How did we do?” surveys. It is structured around the entire service journey—from first contact attempt to post-interaction loyalty—allowing the organization to capture granular, actionable data at every touch-point. The form’s modular sectioning keeps cognitive load manageable, while the mix of closed-ended ratings and open-ended prompts balances quantitative KPI tracking with rich qualitative insight. Conditional follow-ups (e.g., asking for unresolved details only when the customer selects “Partially resolved”) dramatically reduce irrelevant questions, shorten completion time, and show respect for the respondent’s time—an often-overlooked aspect of CX feedback design.
Another notable strength is the deliberate use of psychometrically sound scales: a 5-point Likert for agent attributes, an emotion-rating widget for immediate affect, and a Net Promoter Score for loyalty forecasting. These standardized scales enable benchmarking against industry norms and year-over-year trending. Moreover, the form embeds accessibility and inclusivity checks (interpreter needs, accommodation quality) and invites beta-testing participation, signalling to customers that their voice shapes future service innovations—an excellent practice for turning detractors into promoters.
Capturing the exact interaction timestamp is foundational for service-level analytics: it enables calculation of true resolution time, identification of peak-demand windows, and correlation between queue length and satisfaction drops. By asking for the customer-reported time rather than auto-pulling it from CRM, the form also cross-validates system logs for data-integrity audits. Making this field mandatory ensures every evaluation can be tied to a specific service episode, preventing anonymous, untraceable complaints that cannot be followed up or trended.
From a UX perspective, the open-ended date-time format accommodates various customer memory styles (some recall “last Tuesday afternoon,” others “3:15 p.m. on the 14th”). However, the lack of a date-picker or calendar widget may introduce format variance that necessitates back-end normalization. Still, the decision to keep the prompt free-text respects global date conventions and avoids JavaScript dependency for accessibility. Mandatory status here is justified because without a temporal anchor, the rest of the survey data lose context for root-cause analysis.
Privacy considerations are minimal: the date alone is not personally identifiable, yet it can be combined with ticket numbers for internal linkage. Customers perceive this as low-risk, which keeps abandonment low while still supplying operations with critical temporal data.
Channel identification is the backbone of omnichannel CX strategy. By forcing selection among eight distinct touch-points—including emerging ones like “Community forum”—the company can pinpoint under-performing channels, allocate staffing budgets, and prioritize technical fixes (e.g., IVR flows or chatbot intents). The conditional text boxes for “Forum topic or URL” and “Please specify the channel” capture metadata that enriches text analytics, enabling topic clustering and sentiment per channel.
Mandatory status is essential because optional channel data would create a blind spot: a spike in poor ratings would be impossible to attribute to a specific medium, undermining the entire purpose of service evaluation. The single-choice constraint prevents data pollution from multiple selections, while the follow-up text fields still allow nuance without sacrificing analytical clarity.
From the customer’s viewpoint, this is a quick, low-effort question placed early in the survey, leveraging the compliance momentum principle—respondents are more likely to complete a mandatory dropdown when they have already committed to starting the survey.
This open-ended prompt captures unstructured intent data that keyword clustering can transform into a prioritized issue heat-map. Unlike pre-defined categories, free-text reveals emerging issues that product teams have not yet catalogued (e.g., “Your new firmware bricked my device after midnight”). Mandatory collection guarantees a 100% annotated intent data set, critical for accurate machine-learning models that predict call-driver volume and next-best actions.
The placeholder examples (“billing question, product defect…”) prime recall without constraining expression, a best-practice balance between specificity and openness. Because the question is positioned immediately after channel selection, analysts can cross-tabulate intent complexity with channel preference—revealing, for instance, that billing disputes escalate to phone calls while how-to questions cluster in chat.
From a privacy lens, free-text intent can contain incidental personal data (“my daughter’s account”). The mandatory nature is still justified because the operational value outweighs the risk, and anonymization pipelines can scrub PII downstream.
The 7-row matrix covers every core competency of service interaction: friendliness, professionalism, knowledge, listening, clarity, speed, and ownership. Making the entire grid mandatory eliminates self-selecting bias where only extremely satisfied or dissatisfied customers bother to complete ratings. Consequently, the company receives a representative distribution across the full sentiment spectrum, enabling reliable agent scorecards and fair performance incentives.
Using a consistent 5-point verbal scale (“Very poor” to “Excellent”) reduces scale-use heterogeneity, a common psychometric flaw that can distort departmental rankings. The mandatory requirement also prevents missing-data artefacts that could unfairly penalize agents whose customers skip the section.
Customers typically complete matrix ratings quickly because each row is a single click, creating a perception of speed even though the section is mandatory. This design choice mitigates the usual friction associated with required fields.
This star-rating serves as a global validation check against the multi-attribute matrix. If a customer rates every attribute as “Excellent” but assigns only 2 stars, the discrepancy flags a potential data-quality issue or a nuanced grievance not captured by the sub-questions. Mandatory completion ensures that every survey record contains this high-level metric, which can be rolled up into executive dashboards and public Net Promoter commentary.
Star icons are culturally ubiquitous, requiring minimal cognitive translation for international customers. The visual metaphor also translates well to mobile screens, where text-based scales can wrap awkwardly. Keeping it mandatory guarantees a uniform KPI (Average Star Rating) that can be tracked longitudinally and compared across teams, sites, and outsourcers.
Outcome classification is pivotal for First-Contact Resolution (FCR) analytics, a top predictor of customer loyalty. By mandating selection among six distinct resolutions—including nuanced states like “Referred to another team”—the company can measure true FCR versus staged resolution, identify process bottlenecks, and calculate cost-to-serve per outcome type.
The conditional open text for partial or unresolved cases ensures that qualitative context is captured while keeping the base question closed for easy aggregation. Mandatory status is non-negotiable here; optional outcome data would render FCR calculations meaningless and obscure systemic failure points.
From the respondent’s perspective, the question appears midway through the survey, at a point where sunk-cost psychology encourages completion even if the outcome was negative, thereby reducing non-response bias for dissatisfied customers.
NPS is the universal loyalty benchmark, correlating strongly with revenue growth in longitudinal studies. Making the 0–10 scale mandatory ensures the entire customer base is sampled, not just the extremes. This compels the company to confront passives and detractors early, rather than relying on the vocal minority who volunteer ratings.
The wording adheres strictly to the trademarked NPS phrasing, preserving benchmark validity. Mandatory enforcement also prevents gaming by frontline agents who might coach only happy customers to fill surveys, because every closed ticket is linked to a required NPS request.
Customers are informed that the survey “takes minutes,” setting an accuracy expectation that justifies the single mandatory 11-point click. The data feed directly into CX dashboards that trigger follow-up workflows for scores ≤6, ensuring systemic closure of the feedback loop.
This checkbox satisfies GDPR and CCPA requirements for legitimate-interest data processing. Mandatory consent guarantees that every record can be lawfully used for training machine-learning models, publishing aggregate research, and sharing insights with third-party QA vendors. Without explicit, auditable consent, the entire dataset becomes legally radioactive, limiting its analytical value.
The phrasing “anonymized feedback” reassures customers that personal identifiers will be stripped, reducing privacy concern-driven abandonment. The mandatory nature is compliant because consent is a condition of service improvement, not of purchase, and is presented as a transparent opt-in with clear benefit messaging.
From a risk-management standpoint, the checkbox creates a time-stamped audit trail that can be produced during regulatory inquiries, thereby protecting the organization from fines and reputational damage.
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 start?
Accurate timestamps are the linchpin of service analytics—without them, KPIs like resolution time and queue wait duration cannot be calculated. Making this field mandatory ensures every feedback record can be tied to a specific interaction, enabling root-cause analysis and staffing optimisation. Optional timestamps would create gaps that render trending unreliable and undermine SLA compliance reporting.
Question: Which channel did you use?
Omnichannel strategy depends on knowing where customers choose to engage. A mandatory channel selector prevents data blind spots that could misallocate budget toward under-performing mediums. It also enables comparative CX scoring across chat, phone, email, etc., ensuring resource investment is data-driven rather than anecdotal.
Question: What was the main reason for contacting us?
Free-text intent is irreplaceable for discovering emerging issues that pre-defined categories miss. Mandatory collection guarantees a complete, annotated data set necessary for machine-learning models that forecast call-driver volume and prioritise product fixes. Without 100% capture, predictive accuracy drops, and unseen pain-points fester.
Question: Please rate the representative on the following aspects:
The seven-attribute matrix provides granular, defensible agent scorecards. Mandatory completion eliminates self-selection bias, ensuring performance ratings reflect the full customer spectrum, not just the extremely satisfied or dissatisfied. This fairness is critical for incentive programmes and regulatory QA audits.
Question: Overall, how would you rate the representative?
This star-rating acts as a global validation checkpoint against the detailed matrix. Keeping it mandatory supplies a uniform KPI (Average Star Rating) that can be benchmarked longitudinally and across teams, forming a key input for executive dashboards and public scorecards.
Question: What was the outcome of your interaction?
Outcome classification drives First-Contact Resolution metrics, a top predictor of loyalty and cost-to-serve. Mandatory selection ensures FCR calculations are statistically valid and that unresolved cases are immediately flagged for follow-up workflows, preventing customer churn and repeat contacts.
Question: Net Promoter Score: How likely are you to recommend us…
NPS is the globally recognised loyalty benchmark. Making it mandatory guarantees a representative sample of the entire customer base, forcing the company to address passives and detractors rather than relying on the vocal minority. The resulting score feeds directly into revenue-growth forecasting and investor reporting.
Question: I consent to the use of my anonymized feedback…
Explicit, auditable consent is a legal prerequisite under GDPR/CCPA for processing feedback data. Mandatory consent ensures every record can be lawfully used for training AI models, publishing aggregate insights, and sharing with QA partners, eliminating regulatory risk and enabling full analytical value.
The form strikes an effective balance between data completeness and respondent burden: only 8 of 30+ fields are mandatory, all of which are mission-critical for analytics, compliance, or agent fairness. This targeted approach maximises submission rates while preserving the richness needed for actionable CX intelligence. To further optimise, consider making the NPS question conditionally mandatory only after a matrix rating average of ≤3 is detected; this would reduce friction for clearly delighted customers while still capturing detractor signals.
Additionally, adopt visual cues such as red asterisks or progress bars to telegraph mandatory status early, managing user expectations and preventing mid-form abandonment. Finally, implement server-side validation that gently prompts for missing mandatory fields without erasing previously entered data—this reduces frustration and maintains trust in the feedback process.