Client Satisfaction Questionaire

Contact Information:
First Name:
Last Name:
Middle Initial:
Address 1:
Address 2:
City:
State/Province:
Zip/Postal Code:
Home Phone:
E-mail:
Confirm E-mail:

Job Number:
Ticket Number or Date of Service:

Survey:
1.
Did our repairman arrive when scheduled?
Yes
No
 
 
 
 
 
 
2.
Did the work meet your expectations?
Poor
OK
Great
3.
Did our technician explain the work done, charges, and answer all your questions?
Poor
OK
Great
4.
Was our Technician polite and treat your property with care?
Poor
OK
Great
5.
Did our repairman leave the work area clean?
Poor
OK
Great
6.
Was our office staff friendly and helpful?
Poor
OK
Great
7.
How do you rate your overall experience with us?
Poor
OK
Great
8.
What is the chance that you would recommend Carolina Cooling & Plumbing to someone else?
Poor
OK
Great
9.
What do you think of your overall experience with Carolina Cooling & Plumbing.
Poor
OK
Great
   

Comments:

  
 
Is there an unresolved issue that you would like for us to contact you about?
Yes
No
 
 
 
 
 
 
 

Please enter any additional comments below:

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