Client Satisfaction Survey

Please answer each question with one of the following values:
5 - Completely Satisfied, 4 - Mostly Satisfied, 3 - Somewhat Satisfied, 2 - Mostly Dissatisfied, 1 - Completely Dissatisfied

1. Was the appliance we serviced for you still under the manufacturer warranty?
Yes No Not Sure

2. Was your call answered in a friendly, helpful and efficient manner?
5 4 3 2 1

3. Was your service appointment convenient for you?
5 4 3 2 1

4. Did we repair your appliance in a timely manner?
5 4 3 2 1

5. Did our technician treat you and your property with respect?
5 4 3 2 1

6. Was your appliance repaired to your satisfaction?
5 4 3 2 1

7. How would you rate your overall experience with our company?
5 4 3 2 1

8. Would you use our company again and/or recommend us to a friend or neighbor?
5 4 3 2 1

9. Was there an employee who was especially helpful?
Yes No Not Sure
Employee Name

10. Reference Number - (Job Number, Invoice Number or your Phone Number)

11. Please indicate how you were referred to our company:

If other please specify:

12. May we have your email address?

13. How Did You Find Out About Us?

If Other, Please Indicate:

Comments & Questions

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Expert Appliance Repair