Customer Satisfaction Survey

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Invoice #:
Service Date:      Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 AM PM

Please tell us about your experience:

1) When you called for service were you put on hold for very long?
Yes No     If no, please explain:

2) Was the customer service person you spoke with courteous and helpful?
Yes No     If no, please explain:

3) Did the technician arrive close to the time slot that the customer service rep gave you when you first called?
Yes No     If no, please explain:

4) When the dispatcher called to see if you where home were they clear and polite?
Yes No     If no, please explain:

5) Did the technician arrive close to the time that the dispatcher said they would?
Yes No     If no, please explain:

6) Was your technician neat, courteous and did he explain the problem to you?
Yes No     If no, please explain:

7) Did the technician give you the price upfront before he started the job?
Yes No     If no, please explain:

8) Did the technician explain the advantages of using Bio-Clean in your drains?
Yes No     If no, please explain:

9) Did the service technician wear his floor protectors on his shoes?
Yes No     If no, please explain:

10) Would you recommend United Plumbing to your friends and family?
Yes No     If no, please explain:

11) How would you rate the service of your technician?
Ten being best: Please Rate 01 02 03 04 05 06 07 08 09 10

12) How would you rate the overall service of United Plumbing?
Ten being best: Please Rate 01 02 03 04 05 06 07 08 09 10

13) Did the technician leave the job site clean?
Ten being cleanest: Please Rate 01 02 03 04 05 06 07 08 09 10

14) Was the price of the work done about what was expected?
Please Choose Less Than Expected About What Was Expected More Than Expected

What changes can we make to serve you better?