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 MM slash DD slash YYYY Feedback InformationDate of Feedback MM slash DD slash YYYY 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?ReviewWas the feedback issue resolved? Yes No 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 Feedback ReviewerName of person reviewing the feedback form case: First Last Name of person reviewing the feedback form case: Δ
