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Title of your review
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Transaction month and year
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Select customer type
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Concerning pleasing the customer, in my opinion the customer was:






Concerning behavior, during this transaction, in my opinion the customer was:
Polite
Cordial
Not rude
Condescending
Patronizing
Rude
Extremely rude
Argumentative
Belligerent
Verbally threatening
Physically threatening
N/A - No direct interaction

Concerning payment for this transaction, the:
Customer paid cash
Customer's check cleared
Customer's charge cleared
Customer's check bounced
Customer refused to pay
Card transaction resulted in a chargeback

Concerning the customer giving us a review:






Concerning recommending this customer to other businesses, I:







Comments (Describe what happened when dealing with this customer, the customer's behavior and the outcome.):

Checking this box signifies that you actually have engaged in business interaction in one form or another with the name, address, phone number or email address that you entered above. You also agree that the entries reflect your subjective opinion concerning the customer's behavior and what transpired.

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