Customer Complaint Form
(
*
= required field)
Name (your name):
*
Customer name:
*
Customer address:
Customer phone number:
*
Product:
*
CardioCoach
MetaCheck
ReeVue
RSS100
VT Plus
Other
Serial Number (if known):
Version:
Complaint type:
Other
Suggestion/request for improvement
Product failure fixable over phone
Product failure requiring RMA
Complaint about customer service, slow response, etc
Praise for great service
Complaint:
*
Suggested resolution:
Actions taken by service person:
*
Submitter's phone:
Submitter's email:
