Client Feedback Form Responses

CLIENT FEEDBACK FORM RESPONSES

Client Name:   Service Provider Name:

Project / Engagement:   Feedback Date:

Recitals

WHEREAS, Client has provided observations, evaluations and commentary regarding the Project and the performance of the Service Provider; and

WHEREAS, the Service Provider seeks to record Client feedback for the purposes of improving services, documenting performance, and evaluating contractual obligations; and

WHEREAS, the parties agree that certain feedback may be treated as Confidential Information and that the parties' respective rights, licenses and obligations with respect to such feedback shall be set forth herein.

Feedback Summary

Overall Satisfaction: Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied

Scope of Work

The scope of work to which this feedback relates is described below. This description will be used to correlate feedback with contractual obligations and deliverables.

Payment Terms

The following payment entries record amounts or adjustments referenced by the feedback and agreed remedial or compensatory fees, if any.

Term and Termination

Term Start Date:   Term End Date:

Notice Period for Termination (days):

Either party may terminate this engagement for material breach by the other party if such breach remains uncured after the notice period set forth above. Termination shall be without prejudice to any rights accrued prior to termination.

Confidentiality

Each party acknowledges that feedback may include Confidential Information. Confidential Information means non-public business, technical, or financial information disclosed in connection with the Project. The recipient shall (i) hold such information in strict confidence, (ii) use it solely for the purpose of evaluating or improving the Project, and (iii) not disclose it to any third party except to employees, contractors or advisors on a need-to-know basis who are bound by confidentiality obligations no less protective than those herein.

Exceptions: Confidential Information does not include information that (a) is or becomes publicly available without breach of this Agreement, (b) was rightfully known to the recipient prior to disclosure, or (c) is required to be disclosed by applicable law or valid court order, provided the disclosing party is given prompt notice and an opportunity to seek protective relief.

Confidentiality Duration (years):

License and Use of Feedback

Client hereby grants to Service Provider a perpetual, non-exclusive, royalty-free license to use, reproduce, and incorporate into aggregated or anonymized materials any non-confidential feedback for product improvement, marketing, and reporting, subject to the confidentiality provisions above. Client retains all moral rights and ownership in any original creative submissions unless otherwise assigned in writing.

Permission to publish anonymized feedback publicly: Yes No

Governing Law

This document and any dispute arising out of or relating to it shall be governed by and construed in accordance with the laws of the state of without regard to conflict of law principles. The parties submit to the exclusive jurisdiction of the courts located in that state for resolution of disputes, subject to any agreed dispute resolution provisions below.

Entire Agreement

This document constitutes the entire agreement between the parties with respect to the Client feedback recorded herein and supersedes all prior or contemporaneous understandings, agreements, representations and warranties, whether written or oral, relating to the subject matter. Any modification must be in writing and signed by authorized representatives of both parties.

Acknowledgment

By signing below, each signatory represents and warrants that he or she is authorized to bind the party on whose behalf the signature is made, that the information provided in this feedback form is accurate to the best of the signatory's knowledge, and that the parties accept the terms set forth in this document governing the handling, use and ownership of the feedback.

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