Client Survey Form

Give us 60 seconds of your time…

Dear Client,
We want to know how we are doing in your eyes. We want to find out what you like and what you don't like about our company. If you will take quick moment to fill out this easy survey, we would really appreciate it.

1. How satisfied are you with the following aspects of the service experience?
a. On time arrival 1 2 3 4 5
b. Courteous on the jobsite 1 2 3 4 5
c. Quality of cleaning job 1 2 3 4 5
d. Responsiveness to your special requests 1 2 3 4 5
e. Telephone courtesy 1 2 3 4 5
f. Responsiveness of office staff 1 2 3 4 5
g. Schedule availability 1 2 3 4 5
h. Amount of information offered 1 2 3 4 5
i. Overall performance 1 2 3 4 5
j.Our reputation 1 2 3 4 5
k. Our experience 1 2 3 4 5
l. Our guarantee 1 2 3 4 5

2. What did you like MOST about Vans Carpet?

3. What did you like LEAST about Vans Carpet?


4. After using our service, are you more or less likely to use us again?
Less likely
More likely

5. After using Vans Carpet, are you more or less likely to refer someone to us?
Less likely
More likely

6. Are you aware of the Vans Carpet Referral Program?
Yes
No

Name   (optional)

Email Address   * Valid email is required.

Additional Comments


7. May we use your testimonial for promotional purposes?
Yes
No

Van's will read all customer comments. Thank you for helping us accomplish our mission.                                                       



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