Customer Service Feedback Form

Firmex values all of our clients and strives to meet the diverse needs of our client base.

We have reviewed our policies and practices with respect to the delivery of our services to ensure they are accessible by persons with disabilities. If you have a disability and had difficulty accessing our services, or if you have improvements to suggest, kindly complete this questionnaire.

Q.1

Were you satisfied with the level of service we provided you? *

No
Yes
Somewhat

Please help us understand why you selected this answer

Q.2

Were our services provided to you in an accessible manner?

Yes
Somewhat
No

Please help us understand why you selected this answer

Q.3

Did you experience any problems accessing our services?

Somewhat
Yes
No

Please help us understand why you selected this answer

Q.4

Contact Information: (Optional)

Title

First Name

Last Name

Q.5

Phone Number

(e.g. 1 201-234-5678)

Q.6

Email Address

(e.g. john@example.com)

Q.7

Do you wish to be contacted regarding your feedback?

Yes
No