How Did We Do?

A little about you
Name:   Street Address:
Home Phone: City:
Email: State: Zip:  
 
How well did we do?

1. Was our service response time satisfactory?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

2. Was our Installation response time satisfactory?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

3. Were you totally satisfied with your service?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

4. Were you totally satisfied with your installation?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

5. Was everyone you came in contact with courteous, pleasant, and helpful?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

6. Were you totally satisfied with the work area being left neat and clean?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

7. If you received new equipment, were all warranties delivered to you in a totally satisfactory format?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

8. Were your questions answered to your total satisfaction?

Yes, totally satisfied.
Yes, but could have been better.
Kind of what I expected, your grade is a C.
No, not satisfied.
N/A

9. Would you recommend us to a friend?

Yes
No
Maybe

If not, why?

10. If you do not already have one, are you interested in learning about our Essential Service for periodic service of your equipment?

I already have one.
Yes, please have somebody contact me.
Not at this time.

11. I said before that our goal was your TOTAL SATISFACTION. Overall, from all the contact you have had with us, what is the level of your satisfaction with our work?

Totally Satisfied.
Mostly satisfied.
Just averagely satisfied.
Definitely not total satisfaction.
Downright total disappointment.

Any last thoughts?

How well did we do?

What prompted you to call us?

Television ad
Radio ad
Yellow Pages
Direct Mail
Newspaper
Word of Mouth
Our Trucks
Internet Search Engine
Hotlink from another website
I am a customer already

Comments:

Why did you place your order with us?

Availability
Most Value for Money
Price
Field Representative's Presentation
Engineering of Installation
Reputation of Company
Availability of Quality Service
Best Approach to Problem

Comments:

May we use your response to show others your level of satisfaction? Yes No

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