Service Satisfaction Questionnaire  

We want to thank you for taking the time to complete the questions below.  It is very important to us that you have every opportunity to tell us how we are doing, and what we can do to improve our services.  You are currently on a secure server, so the information that you input below is safe, and cannot be seen by anyone other than us.  

Are you a current or new customer?

Current New            (All Field below require input) (Blue captions offer explanations)

Customer Information:

First Name: Last Name: Customer ID:

Home Address: Home Phone: E-Mail

                 City: Work Phone:


                State:                                         Check for Yes                Comments/Rating (1-10)

 1. Was the office personnel friendly and courteous?        

 2. Were we able to schedule the call when you wanted? 

 3. Did you encounter a busy signal when calling?              

 4. If any parts were needed, how long did it take?          

 5. How long should it have taken to obtain the part?        

 6. Did we follow up with you after the work was done?    

 7. Was the technician courteous and professional?            

 8. Did the technician diagnose the problem quickly?          

 9. Did the technician explain the problem clearly?              

10.Did the technician clean up after the work was done?    

11.Did the technician have a clean and neat appearance?    

12.Are clean, identifiable uniforms important to you?           

13.Did you feel the repair cost was in-line with the service that was provided?


14.Did the repair correct the problem with you appliance?  

15.Would you call our company again for future service?    

16.Would you like to see On-line account access offered?  

Please enter any additional comments in the space provided below: