ProActive
ProActive
Client Satisfaction Survey
If you have recently had an interaction with ProActive, you can rate our service, give us praise, or make a complaint. Just fill out and submit the form below, and let us know how you feel. Thanks!

Instructions: * indicates required fields. Please give as much detailed information as needed. Thanks!

Client Satisfaction Survey
Date:
Time:
*Company Name: *Contact Person:
*Phone: *Job Number:
Recent Interaction
with ProActive: 		IT Consultation
Equipment Purchase
Hardware Repair
Software Issues 		IT Audit
Safety Audit
Upgrade
Other - detail below
Did you call in or
request service online?		 Called in for service
Requested service online
If you called in,
to whom did you speak?
When did you call?
Date and time
If you called in, how
would you rate the call?
LOW
1
2
3
4
5
6
7
8
9
10		 HIGH
Technician's Name
Technician's Rating:
LOW
1
2
3
4
5
6
7
8
9
10		 HIGH
Comments:
Ahead of the Curve
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