Complaint and Feedback Form
शिकायत एवं प्रतिक्रिया फॉर्म
Collects complaints, suggestions or feedback from customers, visitors or members with contact details.
Download Complaint and Feedback Form
What the complaint and feedback form is used for
Use it to capture name (optional), date, phone / mobile no., email id, type (complaint / suggestion / feedback), details and related details in one standard format. Acknowledge each submission and record the action taken.
Who should use it
- Office administrators and facility managers
- Department heads and supervisors
- Teams that keep registers, requests and reports
Key features
- 6 labelled field groups covering Name (optional), Date, Phone / Mobile No., Email ID and more.
- Signature lines for the people who complete or approve it.
- Clean A4 portrait layout designed to print on a standard office printer.
Frequently asked questions
What details does the Complaint and Feedback Form include?
It includes Name (optional), Date, Phone / Mobile No., Email ID, Type (Complaint / Suggestion / Feedback), Details, Received On, Action Taken and more, laid out so the form can be filled by hand or typed.
Can I edit the Complaint and Feedback Form before printing?
Yes. Download the Word (.docx) version, add your name, logo or extra fields and then print or save it as PDF. The PDF is best when you only need to print and write by hand.
Is the Complaint and Feedback Form available in Hindi?
Yes. Both an English and a Hindi version are provided in PDF, DOCX format where listed on this page.
How should I print the Complaint and Feedback Form?
Print on A4 paper in portrait orientation at 100% scale. Use a thicker sheet if the document will be handled often.
Last updated: 11 October 2026