Agent Feedback Form Template

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CUSTOMER EXPERIENCE

Agent Feedback Form

How was your experience with our agent? Your feedback helps us recognise great service and improve customer support.

✓ Rate Your Experience ✓ Help Us Improve

Your Information

Tell us a little about yourself.

Full Name

Email Address

Agent Name *

Interaction Date *

Ticket / Reference Number

Department

How Did You Contact the Agent?

Select the communication channel you used.

📞Phone CallVoice support 💬Live ChatOnline conversation ✉️EmailWritten support 🤝In PersonFace-to-face 💻Video CallVirtual meeting ＋OtherAnother channel

Overall Agent Experience

How satisfied were you with the agent's assistance?

😞Very Poor 😕Poor 😐Average 🙂Good 😍Excellent

Rate the Agent's Performance

Give a rating for each aspect of the agent's service.

ProfessionalismPolite and respectful behaviour

Communication SkillsClear and understandable responses

Product / Service KnowledgeUnderstanding of your questions

Response TimeSpeed of assistance

Problem-Solving AbilityEffectiveness of the solution

Select 1 to 5 stars for each category.

Was Your Issue Resolved?

Let us know the outcome of your interaction.

✓Fully ResolvedMy issue was solved ◐Partially ResolvedSome help is still needed ✕Not ResolvedMy issue remains open

Was the Agent Able to Understand Your Concern? *

👍 Yes, completely 🤔 Partially 👎 Not really

What Did the Agent Do Well?

Select the qualities you appreciated most.

Agent strengths selected 0 selected

What Did You Appreciate Most?

How Can We Improve?

Help us provide an even better customer experience.

Which Areas Need Improvement?

⏱ Response Time 💬 Communication 📚 Agent Knowledge 🛠 Issue Resolution 📞 Follow-Up 🤝 Professionalism

Your Suggestions

Additional Comments

Would You Recommend Our Support?

How likely are you to recommend our customer service?

Would You Like Us to Follow Up About Your Feedback?

📞 Yes, please ✓ No, thank you

Review & Submit Your Feedback

Thank you for helping us improve our service quality.

Contact ChannelNot selected

Overall ExperienceNot rated

Issue StatusNot selected

Recommendation8 / 10