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In an effort to provide optimum customer service, Agency of Credit Control, Inc. (ACC) has developed the following monthly Customer Service Survey (CSS).  Kindly take a moment and fill out the form below.

Thank you!
Agency of Credit Control, Inc.

Please rate ACC on a scale from 1 to 5 (5 being the best rating) with regard to the following items.  If the score is less than 3, please provide specific examples of any problem or issue.

All fields with "*" are required

1. Does ACC respond timely to your requests promptly?

Score:

Enter remarks for question 1 here:

2. Are your calls answered efficiently and routed properly? Are your calls/messages returned promptly?

Score:

Enter remarks for question 2 here:

3. Do you receive any complaints from customers/patients with regard to ACC’s work efforts?

Score:

Enter remarks for question 3 here:

4. Are your month end reports received timely? Are they useful?

Score:

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5. Does ACC respond to your e-mails in a timely manner?

Score:

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6. If you require office visits: Does ACC visit your office with adequate frequency? Are office visits helpful?

Score:

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7. Does ACC resolve your customer service issues promptly and satisfactorily?

Score:

Enter remarks for question 7 here:

8. My overall customer service rating for ACC is:

Score:

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In order to resolve any problems you might be experiencing, it is vital that the following information be supplied so that we may contact you to address the issues.

*Client Name:

*Name of Person Responding:

*Contact Phone Number:

*Contact Email Address:

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