Customer Feedback Form
Hi there!

We're not really sure if you know this, but every bit of feedback provided to us by our customers is taken quite seriously. It is usually discussed at our monthly management meeting to ensure that any and all room for improvement identified to us is acted upon as quickly as possible.

If you've provided some feedback on a negative experience that requires an immediate response from the management team, please do be kind enough to provide your mobile number within the field made available at the end of this form.

With that in mind, we thank you for being a part of the family, and helping us sustain this service culture and quality towards all our customers.

With love,
Team Coco!

Date of Visit *
MM
/
DD
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YYYY
Time of Visit *
Time
:
Feedback Type *
Required
Please describe your experience as clearly as possible *
Your answer
How could we improve on this aspect of our product and/or service quality? *
Your answer
Branch *
Bill Value or Reference Number (If Available)
Your answer
Manager on Duty
Your answer
Your Name *
Your answer
Email ID *
Your answer
Mobile Number
Your answer
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