Customer Survey Form

Are you a recent customer? If so, please take a moment to fill out our Customer Survey Form. We hope that you were very satisfied with the quality of our workmanship. If not, please tell us how we can improve. We are always looking for ways to better our services.

Company Name
Your Name*
First Last
Phone
- -
### ### ####
Email*
Date of Service
MM/DD/YYYY
Description of Services Performed
 Commercial Cleaning Residential Cleaning Post-construction Cleaning Window Cleaning Commercial Sign Cleaning Residential Refrigerator Cleaning Residential Oven Cleaning Residential Garage Cleaning Fireplace Cleaning Carpet Cleaning Move In Cleaning Move Out Cleaning Upholstery Cleaning Tile & Grout Cleaning
 Other
Please specify:
Did our workers arrive at your location when they were supposed to be there?
 Yes, on-time, and ready to work On-time but they did not seem eager or even ready to work They were late They never showed up at all
How were our workers while they were at your location?
 Very personable & friendly Very Helpful Not so friendly Very Rude & Unhelpful
Overall, how satisfied were you with the service that we provided for you?
 Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied N/A
What aspect of our services were you most satisfied by?
 Quality and workmanship Price Friendliness of workers/staff Customer Service
What did you like about our service?
What did you dislike about our service?
In our effort to improve on the services that we provide we welcome your suggestions and comments:
Thinking of similar services offered by other companies, how would you compare the services offered by our company?
 Much Better Somewhat Better About the Same Somewhat Worse Much Worse Don't Know
Would you recommend our services to colleagues or contacts within your industry?
 Definitely Probably Not Sure Probably Not Definitely Not

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