Full Name*

Phone Number*

Email Address*

Location*
-- Select Branch --Ba Shop 1Ba Shop 2LabasaLamiLautokaNadiNasinuNavuaNausoriRakirakiSavusavuSigatokaSuvaTavuaValelevu

Viber Community*
--Select--✅ Added Successfully❌ Customer Declined🚫 Duplicate - Already a Member📵 Customer Does Not have Viber

Facebook*
--Select--✅ Added Successfully❌ Customer Declined🚫 Duplicate - Already a Member📵 Customer Does Not have Facebook

Instagram*
--Select--✅ Added Successfully❌ Customer Declined🚫 Duplicate - Already a Member📵 Customer Does Not have Instagram

LinkedIn*
--Select--✅ Added Successfully❌ Customer Declined🚫 Duplicate - Already a Member📵 Customer Does Not have LinkedIn

Tiktok*
--Select--✅ Added Successfully❌ Customer Declined🚫 Duplicate - Already a Member📵 Customer Does Not have Tiktok

1. How would you rate the service you received today?
--Select--5 - Excellent4 - Good3 - Average2 - Poor1 - Very Poor

2. How friendly and helpful was the staff?
--Select--5 - Excellent4 - Good3 - Average2 - Poor1 - Very Poor

3. Was the information about the products clear?
--Select--Yes (Remarks)Somewhat (Remarks)No (Remarks)

4. How would you rate the speed of the checkout process?
--Select--5 - Excellent4 - Good3 - Average2 - Poor1 - Very Poor

5. Is there anything we could improve?
--Select--Yes (Remarks)NO (Remarks)

6. Would you consider referring R.C. Manubhai to other customers?
--Select--Yes (Remarks)NO (Remarks)

Describe your Remarks