Feedback Review Form

This form is used to review and rate the follow-up and resolution relating to previously submitted Feedback Form.

Date of Feedback Review

Date of Feedback

Name of person who communicated the feedback:

First Last

Company/Organization:

Name of person the feedback was about:

First Last

What was the feedback about?

Was the feedback issue resolved?

Yes

What steps were taken to resolve? And comments:

Rate the final outcome of the handling of the feedback:

+2 Positive Feedback

+1 Resolved Positive

+0 Resolved Neutral

-1 Resolved Negative

-2 Unresolved Negative

Name of person reviewing the feedback form case:

First Last

Name of person reviewing the feedback form case: