Customer Satisfaction Survey
Contact Information
Name
Address:
City:
Phone:
State / Zip:
E-Mail :
Survery Questions
Date of Service
:
Name of Technician
Will you call us again for service ?
Yes
No
How would you rate our office personnel ?
1. Professional
Poor
OK
Good
Great
2. Courteous
Poor
OK
Good
Great
3. Helpful
Poor
OK
Good
Great
4. Cheerful
Poor
OK
Good
Great
5. Informative
Poor
OK
Good
Great
4. Knowledgeable
Poor
OK
Good
Great
How would you rate our technicians ?
1. Prompt
Poor
OK
Good
Great
2. Professional
Poor
OK
Good
Great
3. Courteous
Poor
OK
Good
Great
4. Cheerful
Poor
OK
Good
Great
5. Appearance
Poor
OK
Good
Great
6. Quality of Work
Poor
OK
Good
Great
7. Work Area Cleaned
Poor
OK
Good
Great
8. Questions or comments concerning your experience with us may be entered below.
At Hole in the Wall we strive to deliver world class service to each and every customer. We always welcome feedback and comments, so please take a moment to fill out this simple survey to let us know how well we did.