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Help us improve our service. Please tell us about your experience with our Customer Service team. * indicates required field
First Name :	*	Last Name :	*
Title :		Email-Address :	*
Phone :	*	Company ID :
Company/Organization :

About the incident	Rating
Has the issue been successfully resolved?	Yes No Ongoing
Do you have a ticket number for the incident? If so, please specify
The amount of time taken to receive response (via email or telephone) from support representative was:	[Unacceptable] 1 2 3 4 5 [Quick]
Time taken to resolve the issue:	[Unacceptable] 1 2 3 4 5 [Quick]
Number of support representatives(s) involved in solving the issue:	1 2 More

General quality	Rating
Helpfulness of support staff:	[Most unsatisified] 1 2 3 4 5 [Most satisified]
Friendliness of support representative:	[Most unsatisified] 1 2 3 4 5 [Most satisified]
Language skills of support representative:	[Most unsatisified] 1 2 3 4 5 [Most satisified]
Overall:	[Most unsatisified] 1 2 3 4 5 [Most satisified]

Future improvements
Which one of the following do you want to be our default response channel?	Email Phone Web Fax *
Do you wish to have a dedicated customer support representative for all your issues?	Yes Not necessary *
Would you like us to provide self-service online support?	Yes Not necessary *
Other comments or suggestions: