Complaints Survey Complaint REF No Name * First Name Last Name Email * Phone * (###) ### #### Address Subject of Complaint Q1. When you first made your complaint did you receive an acknowledgment letter, email, or phone call? Yes No I cannot remember Q2. Did you receive a response to your complaint within the given timescale? Yes No I was not given a timescale I cannot remember Q3. How satisfied are you with the following aspects of the service you received? Overall, how we dealt with your complaint Satisfied Neither Dissatisfied The helpfulness and politeness of the staff who dealt with your complaint Satisfied Neither Dissatisfied The final outcome of your complaint Satisfied Neither Dissatisfied Receiving a full explanation of the reasons for the outcome of your complaint Satisfied Neither Dissatisfied Q4. If you were dissatisfied with how we dealt with your complaint. Can you please explain why you are dissatisfied? Slow response Lack of communication/No Feedback I had to keep chasing them/It took several complaints They did not agree with me/Outcome They were unhelpful/unfriendly Additional Comments/Compliments Thank you for taking the time to complete our survey and giving us the opportunity to improve our services.
