Client Feedback Assessment Survey

CLIENT FEEDBACK ASSESSMENT SURVEY AND SERVICE AGREEMENT

Parties and Recitals

This Client Feedback Assessment Survey and Service Agreement (the Agreement) is entered into by the parties identified below.

WHEREAS, Company Name: provides professional services and seeks systematic client feedback to assess performance, quality, and opportunities for improvement; and

WHEREAS, Client Name: has engaged Company to provide services and agrees to furnish feedback under the terms set forth herein; and

WHEREAS, the parties desire to document the scope of the feedback assessment, confidentiality protections, and the contractual terms that govern the collection and use of feedback.

Client and Engagement Information

Start Date:    End Date:

Scope of Work (Feedback Assessment)

The Company will collect, analyze, and report client feedback relating to the services identified above. The scope includes structured survey administration, collection of qualitative comments, categorization of issues, and delivery of a summary assessment and recommendations.

Survey Questions

Instructions: For each question, select the response that best represents your assessment where 1 = Very Dissatisfied and 5 = Very Satisfied. Provide additional comments where requested.

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

Payment Terms (if applicable)

When feedback services are billable as part of the engagement, Client agrees to compensate Company according to the terms below.

Term and Termination

This Agreement commences on the Start Date below and continues through the End Date below unless earlier terminated in accordance with this section.

Effective Date:    Termination Date:

Either party may terminate this Agreement for material breach if the breaching party fails to cure the breach within days after written notice. Termination for convenience by either party requires days' prior written notice.

Confidentiality

Each party acknowledges that, in connection with the feedback assessment and related services, it may receive Confidential Information of the other party. Confidential Information means non-public business, technical, financial and other information disclosed in any form marked or designated as confidential or that a reasonable person would understand to be confidential.

Each party shall (a) use Confidential Information only for the purposes of performing this Agreement; (b) protect Confidential Information using at least the same degree of care it uses to protect its own confidential information but in no event less than reasonable care; and (c) not disclose Confidential Information to third parties except to employees, contractors or advisors who have a need to know and are bound by confidentiality obligations no less protective than those herein. Exceptions include information that is or becomes generally available to the public through no fault of the receiving party, or is independently developed without use of the disclosing party's Confidential Information.

Use of Feedback and Data

Company may aggregate anonymized feedback data for internal analysis and benchmarking provided no personally identifiable client data or Confidential Information is disclosed. Any reporting that attributes feedback to an identifiable client requires prior written consent.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state or jurisdiction identified by the parties below. Disputes shall be resolved in the courts located in the agreed jurisdiction unless the parties agree otherwise in writing.

Governing Jurisdiction:

Entire Agreement

This Agreement, including any written attachments and the feedback results report when executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, representations, and understandings, whether oral or written. No amendment will be effective unless in writing and executed by authorized representatives of both parties.

Acknowledgment and Consent

By signing below, the undersigned representatives certify that they have authority to bind their respective party, acknowledge receipt of this Agreement, and consent to the collection and use of feedback as described above.

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