Keeler Customer Complaints & Feedback

Customer Feedback

Thank you for taking the time and providing your valued feedback

1. Country Or Location *

2. Your Organisation/ Company Name *

3. Email Address of the person providing the feedback *

4. Full Name of person providing feedback *

5. Your Organisation/ Company Postal Address *

6. Phone number (including country code) of the person providing feedback *

7. How likely are you to recommend Keeler products or services to a peer or colleague? *

Please indicate why you have given the rating above

We value your feedback and have some additional questions. Would you like to like to share more about your experience? *

Yes – Continue with further questions

No – Submit form as is

8. Do you wish to give feedback on a product or service?

Product

Service

9. Please Select Product

10. Select from product Range

Dealer

End User (Health Care Professional)

Very Dissatisfied

Dissatisfied

Neither Satisfied/ Dissatisfied

Satisfied

Very Satisfied

Please add additional comments here

Under 1 year

1-2 Years

3-4 Years

5 Years or more

Please add additional comments here

Very Dissatisfied

Dissatisfied

Neither Satisfied/ Dissatisfied

Satisfied

Very Satisfied

N/A

Please add additional comments here

Very Dissatisfied

Dissatisfied

Neither Satisfied/ Dissatisfied

Satisfied

Very Satisfied

Please add additional comments here

Very Dissatisfied

Dissatisfied

Neither Satisfied/ Dissatisfied

Satisfied

Very Satisfied

Please add additional comments here

Strongly Disagree

Disagree

Neither Disagree/Agree

Agree

Strongly Agree

Please add additional comments here

Much worse

Worse

Neither Worse/Better

Better

Much Better

Please add additional comments here on why you have chosen the above rating

[1 = Totally Disagree, 5 = Totally Agree]

High Build Quality:

Reliable:

Market Leader:

Innovative:

Premium Manufacturer:

Other - Please add additional comments here

Yes

An error has occurred. This application may no longer respond until reloaded. Reload 🗙