Customer Info:

Name(s):

Address:

City:

Your Email:

Procedure (Small description of work):

Salesman Info:

Salesman:

Rate the Salesman's performance (10=great, 1=bad)

10 | 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1

Comments on the Salesman:

Office Info:

Rate the Office performance (10=great, 1=bad)

10 | 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1

Comments on the OFFICE:

Crew Info:

Crew and Leader:

Crew Rating:

[ Good Bad  ]  - Crew leader called to give you an estimated time of arrival
[ Good Bad  ]  - Crew leader introduced himself immediately upon arrival
[ Good Bad  ]  - Crew leader reviewed the work to be done with you
[ Good Bad  ]  - Crew addressed all of your concerns or referred to the office
[ Good Bad  ]  - Crew leader managed his crew competently and with professionalism
[ Good Bad  ]  - Crew members began to work immediately upon arrival
[ Good Bad  ]  - Reasonable steps were taken to minimize dust infiltration and property damage
[ Good Bad  ]  - Crew members used appropriate language
[ Good Bad  ]  - Length and frequency of breaks were appropriate
[ Good Bad  ]  - Crew members exercised appropriate job site safety and safe job site maintenance
[ Good Bad  ]  - Reasonable care was taken to keep site clean
[ Good Bad  ]  - All garbage was disposed of appropriately
[ Good Bad  ]  - All crew members were kind and courteous
[ Good Bad  ]  - All work was completed in a timely fashion
[ Good Bad  ]  - Quality of workmanship was excellent
[ Good Bad  ]  - Cleanup after job completion was excellent
[ Good Bad  ]  - Appearance of crew members was acceptable

Comments on the Crew:

Miscellaneous Info

Check which one applies:
- Excellent value and quality. Exactly what I expected.
- Project was acceptable. More or less what I expected.
- Project was NOT what I expected.

Comments:

Why did you choose our company for your work:

[ YES NO  ] - Would you choose our company again?
[ YES NO  ] - Would you recommend us to your friends?
[ YES NO  ] - May we use your as a referrence?

Phone number to be used:

How did you hear about us:

Lastly:
[ YES NO  ] - May we post (SOME) of this info online?

Security Question:

Please answer the security question below:
What is [ 99-1 ] = ?