Dear Friend and Client,

Thank you for using our service. We want to know how we are doing in your eyes. Please let us know if you were thrilled, simply satisfied, or disappointed. This information will help us accomplish our mission: To provide our clients with the most outstanding service experience possible!

Directions: After each question please write the number corresponding to the answer that best reflects your opinion. *Put N/A if not sure or not applicable.

Very                   Very

Dissatisfied        Satisfied

1       2       3       4       5  

1. How satisfied are you with the following aspects of your service experience?

a.      On time arrival                                          

b.     Courteous on the job site                           

c.     Quality of cleaning job                               

d.     Responsiveness to your special requests       

e.      Telephone courtesy                                    

f.       Responsiveness of office staff                      

g.     Schedule availability                                   

h.     Amount of information offered                     

i.        Overall performance                                   

j.        Our reputation                                            

k.     Our experience                                           

l.        Our guarantee                                            

1.     What did you like MOST about AccuDry?

2.     What did you like LEAST about AccuDry?

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

                  a.  Less likely    b.   More likely

4.     After using AccuDry, are you more or less likely to refer someone to us?

              a.      Less likely     b. More likely  

5.     Are you aware of the AccuDry Referral Program?

              Yes                    No

Additional Comments:

Name (optional)

Please contact me as soon as possible regarding this matter.

May we use your testimonial for promotional purposes?

                    Yes                 No

AccuDry will read all customer comments. Thank you for helping us accomplish our mission.

THE AccuDry GUARANTEE

If you were not completely thrilled with the service experience you received from us, we will rush back to your location to remedy the situation. If you are still unimpressed, you owe us nothing and we will issue a 100% refund. Thank you!

Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: June 15, 2006 .