Customer Feedback Survey Consent Form

Thank you for agreeing to participate in our customer feedback survey. Your responses will help us improve our services. Please read the following consent information carefully and provide your agreement below.

Consent Information

• Your participation is voluntary.
• Your responses will remain confidential and anonymous.
• You may withdraw from the survey at any time.
• Data collected will be used solely for service improvement purposes.

Name (Optional):

Email (Optional):

I have read and understood the consent information above and agree to participate in the customer feedback survey.