Service Journal Entry Form Your Name Name of firm Type of Service (industry): Date of Encounter: Time of encounter. How did the encounter take place(e.g, in person, by phone, via a self-service technology) What specific circumstances led to this encounter? Exactly what did the firm/employee say or do? How would you rate your level of satisfaction with this encounter?( Circle the most appropriate number). Extremely Extremely Dissatisfied Satisfied What exactly made you feel this way What could the employee/firm have done to make you happier with the encounter? How likely is it that you will go back to this service firm? Extremely Extremely Unlikely ikely NOTES:7 Service Journal Entry Form Your Name: Name of Firm: Type of Service (industry): Date of Encounter: Time of Encounter: How did the encounter take place (e.g., in person, by phone, via a self-service technology)? What specific circumstances led to this encounter? Exactly what did the firm/employee say or do? How would you rate your level of satisfaction with this encounter? (Circle the most appropriate number). 1 2 3 4 5 6 7 Extremely Extremely Dissatisfied Satisfied What exactly made you feel this way? What could the employee/firm have done to make you happier with the encounter? How likely is it that you will go back to this service firm? 1 2 3 4 5 6 7 Extremely Extremely Unlikely Likely NOTES: