Questionnaire - FasterDraft

Who is Sender?

Indicate the full name of a person who signs and sends this letter (Sender):
Indicate the Sender's mailing/correspondence address:
Indicate the Sender's contact phone number:

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This phone number could be used by the business to contact the sender regarding their complaint for further discussion and investigation.
Indicate the Sender's email address:

General Information

Select the date on which the Sender signs and sends this letter:
Indicate the full name of the business, to whom this letter is being sent:
Indicate the business's registration address:
Do you know the name of a person to whom this letter should be addressed?
- No
- Yes
Indicate the full name of that person:

Complaint Details

The Sender wants to complaint about bad/unsatisfactory:
- website experience
- medical institution
- store experience
Select the type of the medical institution:
Indicate the address of a medical institution the Sender wants to complain about:
Indicate the URL of the website the Sender wants to complain about:
Indicate the address of a store the Sender wants to complain about:
Select the date on which the Sender experienced bad customer/user experience:
Describe the issue or concern that the sender wishes to bring to the management’s attention:
Does the Sender wish to attach supporting documents to support this complaint?
- No
- Yes
List all the documents or supporting information the Sender wishes to attach:
What outcome or resolution does the Sender expect from submitting this letter?
- feedback
- refund
- nothing in particular
Indicate the amount of the requested refund (in USD):
Describe how the sender would like to receive the refund:

Do you want to add a signature?
- Yes
- No
Sender's signature:

Select a template's format:

PDF

DOCX

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Who is Sender?

Indicate the full name of a person who signs and sends this letter (Sender):

Indicate the Sender's mailing/correspondence address:

Indicate the Sender's contact phone number:

Indicate the Sender's email address:

General Information

Select the date on which the Sender signs and sends this letter:

Indicate the full name of the business, to whom this letter is being sent:

Indicate the business's registration address:

Do you know the name of a person to whom this letter should be addressed?

Indicate the full name of that person:

Complaint Details

The Sender wants to complaint about bad/unsatisfactory:

Select the type of the medical institution:

Indicate the address of a medical institution the Sender wants to complain about:

Indicate the URL of the website the Sender wants to complain about:

Indicate the address of a store the Sender wants to complain about:

Select the date on which the Sender experienced bad customer/user experience:

Describe the issue or concern that the sender wishes to bring to the management’s attention:

Does the Sender wish to attach supporting documents to support this complaint?

List all the documents or supporting information the Sender wishes to attach:

What outcome or resolution does the Sender expect from submitting this letter?

Indicate the amount of the requested refund (in USD):

Describe how the sender would like to receive the refund:

Do you want to add a signature?

Sender's signature:

Select a template's format: