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Client Feedback Form
   
 
 
 
 
 
 
 

Garden & Associates, Inc. wants to provide the best possible service to our clients. Please help us to better serve you by telling us about your experience with our agency. Your feedback will be kept confidential.

For each statement below, select the choice that most closely matches your opinion:

Name of Garden Employee (if known):

Department: Scheduling Billing Recruiting Human Resources

 
Strongly Agree
Agree
Disagree
Strongly Disagree
1. Garden Employee was courteous and respectful:
2. Garden employee assisted me when I called:
3. Garden employee answered my questions promptly and efficiently:
4. Overall, I am satisfied with my experience with Garden & Associates, Inc.

Additional Comments:

Name:
Company:
E-mail:
Phone:
Fax:
Please Contact Me: Yes     No

Thank you for giving us your feedback!

Confidentiality Notice: This document contains confidential information which is legally privileged and is intended only for the use of the intended recipient named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on the contents of the telecopied information is strictly prohibited. If you received this fax in error, please notify us immediately by telephone to arrange for the return of the original documents to us at no cost to you.