Customer Service Feedback Form

Thank you for visiting Heartzap Safety Training & Equipment! We value all of our customers and strive to meet everyone’s needs.

Date*
Date Format: MM slash DD slash YYYY
Location*
1. Were you satisfied with the customer service we provided you?
- Yes
- No
- Somewhat
Comments
2. Was our customer service provided to you in an accessible manner?
- Yes
- No
- Somewhat
Comments
3. Did you experience any problems accessing our goods and services?
- Yes
- No
- Somewhat
Comments
Contact Information (optional)
Name
First Last
Email
Phone
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Email
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