Consumer Response Customer Survey

Call center form
Call center agents will use the same web form as consumers when assisting callers who seek to provide feedback. An
accompanying phone script will assist call center agents in recording consumer feedback.
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Submit your feedback
Only provide feedback about the response that you received from
the company. You will have 60 days from when the company
responds to complete your feedback.
The CFPB will share your feedback responses with the company and use the information to help the
CFPB’s work with consumer complaints. Participation is voluntary, you are not required to submit
feedback.

The company’s response addressed all of my issues.
Yes

No

Please provide any additional comments to explain your response. (optional)
• Do not include personal information, such as your name, account number, address,
Social Security number, etc.
• Please do not copy and paste the company’s response.

I understand the company’s response to my complaint.
Yes

No

Please provide any additional comments to explain your response. (optional)
• Do not include personal information, such as your name, account number, address,
Social Security number, etc.
• Please do not copy and paste the company’s response.

The company did what they said they would do with
my complaint.
Yes

No

Please provide any additional comments to explain your response. (optional)
• Do not include personal information, such as your name, account number, address,
Social Security number, etc.
• Please do not copy and paste the company’s response.

I want the CFPB to publish this feedback on consumerfinance.gov so that others can
learn from my experience.

The information given is true to the best of my knowledge and belief. I understand
that the CFPB cannot act as my lawyer, a court of law, or a financial advisor.

Submit your feedback

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