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Register Consumer Feedback

1.Complaint Number

2. How would you rate your satisfaction with the level of servise received ? (on a scale of 1 to 5)*
Extremly Dissatisfied Dissatisfied Average Satisfied Very Satisfied

3.Are you satisfied with the action taken on your complaint by the company / organization / agent against whom the complaint was made ?* Yes No

4. Any Suggestions that you may like to give to improve our services ?