NATIONAL PROTECTIVE SERVICES, INC.

CLIENT FEEDBACK FORM

As a client of National Protective Services, Inc., your input on the quality of our service is extremely important to us.  Your feedback to our company, both positive and negative, helps us to improve our service to all our clients and to maintain the quality of that service.  Please feel free to take a few minutes and fill out the short form below.  When completed, press the SUBMIT button at the bottom and your information will be sent directly to the Director of Operations.  If requested, we will call you back as soon as possible in regards to any problems or concerns.

Thank you for taking the time to send us your feedback and for your patronage of NPS.

FEEDBACK INFORMATION

SITE NAME

CONTACT NAME

OFFICE

CELL

EMAIL

COMMENTS

SITE NUMBER

POSITION

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NATURE OF FEEDBACK

DATE OCCURRED

TIME OCCURRED

SITE INFORMATION

OFFICER'S NAME

OFFICER'S BADGE NO.

If you wish to contact someone immediately by telephone, please refer to your NPS Client Contact  Card that was received with your New Client Welcome Package.

Would you like someone to call you back as soon as possible?

COMPLIMENTCOMPLAINTPROBLEMREQUESTSUGGESTION

YESNO