Survey Form

Your Name (required)

Your Email (required)

Date of Service

Technician Name

Was our management staff courteous and helpful?
 Yes No

Did the management staff answer all of your questions?
 Yes No

Was the technician on time?
 Yes No

Was the technician courteous and professional?
 Yes No

Did the technician answer any questions that you may have had?
 Yes No

Were you contacted a few days after the cleaning and asked to comment on your satisfaction?
 Yes No

Were "caution" pads left on entry room floors by the technician?
 Yes No

Did the technician clean up after the service?
 Yes No

Did we provide the service that was promised?
 Yes No

Would you recommend our service to others?
 Yes No

What I liked best about the service:

Comments

Overall Grade:

I authorize Executive Carpet Cleaning to use my comments in marketing material
 Yes No