You are welcome to post anything you like how you like, however here is a suggested format - courtesy of Kevan:

- PRODUCT(S)/SERVICE(S) PURCHASED:

- DATE PURCHASED:
- DATE SHIPPED:
- DATE ARRIVED:
- PRODUCT/SERVICE QUALITY (1-10):
- CUSTOMER SERVICE (1-10):
- WOULD PURCHASE FROM AGAIN? (Y or N):

- COMMENTS: