CUSTOMER FEEDBACK FORM - WEB

We would love your feedback to provide you with the best service! Thank you for your participation.

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* 1. Invoice Number

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* 2. How did you hear about us?

Social Media

Radio

Television

Billboard (Outdoor)

Newspaper

Referred by a friend

Other (please specify)

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* 3. How likely are you to recommend us to your friends or family?

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* 4. Your Spouse's Birthday

Date

Date

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* 5. Your Wedding Anniversary

Date

Date

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* 6. Contact Details

City/Town

State/Emirate

Email Address

Phone Number *

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* 7. Kindly refer two of your friends or family members to Arakkal family

Name

Contact Number

Name

Contact Number

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* 8. Your General Feedback, Suggestions & Recommendations

100% of survey complete.