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Your Name:
Date:
Address:
City:
State:
Zip Code:
Technician:
 
Project Name:
 
   
Thank you for the opportunity to work on your project. We are glad you called upon us and hope that if future needs arise you will call us again.
We hope the quality of our work pleased you. Any input you have regarding our performance would be greatly appreciated. Your comments are an important part of our quality assurance program. Would you please take the time to fill out this form so that future clients will gain from your and our experience?
 
1) Did the tech show up when agreed?
    Yes No
6) Did the tech clean up after himself and
    make an effort to keep area clean and
    damage free?
    Yes No
2) Did he introduce himself immediately?
   Yes No
7) Did we fulfill our agreement?
    Yes No
3) Was he polite and courteous?
   Yes No
8) Was the quality of the work as
    expected?
    Yes No
4) Did he appear neat and clean?
   Yes No
9) Will you consider us for future projects?
    Yes No
5) Did the tech make sure you had no
    other Concerns before leaving?
   Yes No
5a) If you had other concerns, were they
     addressed to your satisfaction?
    Yes No
   
Please type any additional comments:
 
E-Mail Address:

* Please provide your E-Mail address so we can notify you of any specials or promotions:
May we use your name as a reference on future jobs? Yes No

Click Submit below to send information...Thank you

                  

Please take a few minutes and answer Our Customer Satisfaction Survey. Remember to give us your E-Mail address so we can notify you of special discounts offers and promotions