Payment Window Survey
Positive Collection Survey
I acknowledge that by submitting this survey I will be automatically entered into a quarterly drawing for a $50.00 gift card. I agree that information provided in this survey may be used by ERS for training, compliance or marketing purposes.
Your Name *
Your answer
Phone Number
Your answer
ERS Account #
Your answer
Your email address *
Your answer
Please enter the name of the representative who helped you *
Your answer
How was your experience? *
Would you agree that the account representative treated you respectfully during your experience?
Please provide any additional comments that you feel would be helpful to our management team in our effort to provide positive collection experiences to our customers
Your answer
Would you like a manager to contact you regarding your experience?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy