Service Satisfaction Survey

Your information

Your Name:

Address:

E-mail:

About your experience

Using the scale below, click on the appropriate number as it corresponds to your rating.

Scale:

• 5 = Completely Satisfied

• 4 = Mostly Satisfied

• 3 = Somewhat Satisfied

• 2 = Mostly Dissatisfied

• 1 = Completely Dissatisfied

1. Was your call answered in a friendly, helpful and efficient manner?
   54321

2. Was your service appointment convenient for you?
   54321

3. Did we repair and/or diagnose your appliance in a timely manner?
   54321

4. Was our technician clean, neat, professional and friendly?
   54321

5. Did our technician leave the work area and the appliance clean?
   54321

6. Was your appliance repaired or diagnosed to your satisfaction?
   54321

7. How would you rate your overall experience with our company?
   54321

8. Did our technician explain that we service all types of appliances and/or ask If any other appliances need attention?
   YesNo

9. Did our technician leave you a sticker, magnet or business card?
   YesNo

10. Would you use our company again and recommend us to others?
    YesNo

11. Was there an employee who was especially helpful?
    If so could we have their name?

Comments:

How were you referred to our company? Check all that apply:Family/FriendYellow PagesRetailerManufacturerSearch EnginePostcardTelevisionOther

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