Survey

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This form is a demo and may not be submitted by anyone other than the creator of the form.

Captcha ^✻ What is 4 + 5?

Name and Surname ^✻

Your email address ^✻

Daytime Contact Number

Your Client Number

Agent Ability and willingness ^✻

	poor	average	good	excellent
How would you rate the agents ability to resolve your query?	How would you rate the agents ability to resolve your query? - poor	How would you rate the agents ability to resolve your query? - average	How would you rate the agents ability to resolve your query? - good	How would you rate the agents ability to resolve your query? - excellent

How satisfied are you with how your query was resolved? ^✻

Very Satisfied

Fairly Satisfied

Not Satisfied

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