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Customer Satisfaction Survey
About You...
Your Name
*
First
Last
Your Address
*
Line 1
Line 2
City
State
Zip Code
Country
Your Phone Number
*
Your Email
*
If you would like to refer a friend to us, please enter their contact information below.
Friends Name
*
First
Last
Friends Phone Number
*
Friends Email
*
Which of the following best describes the purpose of our visit?
*
Sales/Installation
Service/Repair
Your Experience...
Promptness of personnel
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Professional appearance (personnel/vehicles/ect.)
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Courtesy and friendliness
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Took time to understand my needs
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Knowledgable
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Kept my home neat and clean
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Explained operation and maintenance of system
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Explained equipment and labor warranties
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Completed the work in a timely manner
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Resolved any issues to my satisfaction
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Overall Satisfaction
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
How likely are you to recommend us to a friend or colleage?
*
Yes
No
Maybe
Are you interested in a service and or a maintenance agreement?
*
Yes
No
Maybe
Would you like to receive our newsletter for news, tips and special offers?
*
Yes
No
Please share any additional comments or describe in your own words your overall experience (for example, what you thought the technician did exceptionally well, or what could have been better).
*
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