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Feedback Report Form
                                           Customer Information:

Agent’s Name: ______________________________________________________

Lead Type Purchased: ______________________________________________________

Appointment Date and Time: ________________________________________________

                                 Prospect Information:
Prospect’s Full Name: _____________________________________________________

Street Address:____________________________________________________________

City, County, State, Zip: ____________________________________________________

Phone Number: _____________________________________________________________

                                     Appointment Feedback Comments

        To report your feedback of your appointments please send this report within 24 hours of receiving your
   lead/appointments. Please email to: jason.lewis@newlead.org or you can fax it to Office: Fax: (214) 572-7106.

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


                   NEW LEAD Quality Control Department Use Only:



  Date Notified:     _________________                            Replaced:       _________________

  Date Completed: _________________                               Not Replaced: _________________

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New lead feedback (2)

  • 1. Feedback Report Form Customer Information: Agent’s Name: ______________________________________________________ Lead Type Purchased: ______________________________________________________ Appointment Date and Time: ________________________________________________ Prospect Information: Prospect’s Full Name: _____________________________________________________ Street Address:____________________________________________________________ City, County, State, Zip: ____________________________________________________ Phone Number: _____________________________________________________________ Appointment Feedback Comments To report your feedback of your appointments please send this report within 24 hours of receiving your lead/appointments. Please email to: jason.lewis@newlead.org or you can fax it to Office: Fax: (214) 572-7106. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ NEW LEAD Quality Control Department Use Only: Date Notified: _________________ Replaced: _________________ Date Completed: _________________ Not Replaced: _________________