You are a very important customer to us.

Please help us maintain our high standard of quality service by answering the following few questions.  Any positive or negative feedback will enable us to do our best to keep you happy.

As companies grow larger, the importance of customer satisfaction is often overlooked.  We do not want to overlook what is important to you.
 

Phone representative was	Pleasant Courteous Discourteous
Work performed was	Excellent Good Fair
Employee’s appearance	Neat Clean Needs Improvement
Employee’s attitude was	Pleasant Courteous Discourteous
Service charge was	Less than expected About Right More than
Would you use us again	YES Maybe No
Left Promotional Material	YES Maybe No
How did you hear about us	Yellow Pages Trucks Repeat Customer Town Planner Coupons Shepherds Guide Magnet Other Referred by
Service Information:
Additional Remarks
Customer Name	Phone
Your Technician’s Name