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Trial Customer Feedback

  Trial Customer Name: Installation Date:  
  Address: Account Phone No:
(include area code, numbers only - XXXXXXXXXX)		  
    Email Address:
(to receive an email response, please supply address)		  

 

  Good Fair Poor If Poor, Reason:
Picture Quality

Video cuts out
Video blocks
Ghosting images		 Channel(s) affected

Date/time
Audio Quality Audio stuttering
Lip syncing
Volume		 Channel(s) affected

Date/time
DVR record
DVR playback

Manual Usefulness

 Manual Feedback:
Customer service Customer Service Feedback:
         
Additional Feedback

Image verification

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