need an customer feedback fomat sample

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need an sample feedback form to record appreciation of my customer
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Sergey Stukov co-founder
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You can show existing sites of our clients for example
http://userecho.com/clients/

And their support forums
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Sergey Stukov co-founder
  • Answer
  • Completed
You can show existing sites of our clients for example
http://userecho.com/clients/

And their support forums