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1. Form Title and Company Information: Clear identification of the company and purpose of the form
2. Data Protection Notice: POPIA-compliant explanation of how personal information will be collected, used, and protected
3. Respondent Information: Basic contact details and relevant customer information
4. Consent Declaration: Explicit consent for data collection and processing as per POPIA requirements
5. Product/Service Identification: Specific product or service being evaluated
6. Core Feedback Questions: Main feedback questions using appropriate rating scales and comment boxes
7. Customer Experience Rating: Standardized rating questions about overall experience
8. Open Comments Section: Space for additional comments or suggestions
9. Submission Instructions: Clear guidance on how to submit the completed form
1. Service Recovery Section: Additional questions for customers who reported negative experiences, including preferred resolution methods
2. Future Contact Permission: Optional section for customers to indicate willingness for follow-up contact
3. Loyalty Program Information: Section for loyalty program members to provide their membership details
4. Industry-Specific Questions: Specialized questions relevant to particular industries or services
5. Marketing Preferences: Optional section for updating marketing preferences and communications
1. Privacy Notice: Detailed privacy policy and data protection information
2. Rating Scale Guide: Explanation of rating scales and scoring systems used in the questionnaire
3. Terms and Conditions: General terms regarding the use of feedback data
4. Contact Information Sheet: Company contact details for customer queries about the feedback process
Data Subject
Processing
Consent
Company
Customer
Feedback
Response
Survey Period
Confidential Information
Data Protection Officer
Form
Operator
Rating Scale
Responsible Party
Services
Products
Marketing Communications
Customer Experience
Submission Date
Privacy Notice
Terms and Conditions
Electronic Communication
Direct Marketing
Consent
Privacy Notice
Purpose of Collection
Confidentiality
Information Usage
Data Storage
Data Access Rights
Marketing Communications
Third Party Disclosure
Intellectual Property
Voluntary Participation
Amendment Rights
Electronic Communications
Jurisdiction
Dispute Resolution
Data Retention
Information Accuracy
Feedback Usage Rights
Contact Details
Retail
Financial Services
Healthcare
Hospitality
Technology
Telecommunications
Professional Services
Education
Manufacturing
Transportation
Real Estate
Food and Beverage
Entertainment
Customer Experience
Quality Assurance
Marketing
Customer Service
Operations
Compliance
Legal
Sales
Product Development
Market Research
Data Analytics
Service Delivery
Customer Experience Manager
Quality Assurance Manager
Operations Manager
Marketing Manager
Data Protection Officer
Customer Service Manager
Business Development Manager
Compliance Officer
Sales Manager
Product Manager
Market Research Analyst
Service Delivery Manager
Brand Manager
Customer Insights Analyst
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