CUSTOMER SATISFACTION SURVEY
NAME:
 		SERVICE TECH NAME: SERVICE DATE:
E-MAIL:
 		ADDRESS: PHONE NUMBER:
WHICH JEFF THE PLUMBER LOCATION TOOK CARE OF YOUR NEEDS?

Please complete and mail to our office to be entered in our monthly drawing for a $50.00 Visa Gift Card.  All entries are entered in the month service was rendered.  New drawing each month. Winner will be drawn on the last day of the month. Winner will be notified by phone.

For each item identified below, circle the number
to the right that best fits your judgment of its quality.
Use the scale above to select the quality number.

Description/Identification of Survey Item

Scale
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< - - - - - Good - - - - - >

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1. THE QUALITY OF THE WORK PERFORMED WAS 1 2 3 4 5
2. THE SERVICE SPECIALIST'S APPEARANCE WAS 1 2 3 4 5
3. SERVICE SPECIALIST’S ATTITUDE WAS 1 2 3 4 5
4. THE WORK AREA WAS CLEANED AND PUT BACK TOGETHER 1 2 3 4 5

5. WAS THE WORK COMPLETED TO YOUR SATISFACTION? YES   NO

6. SERVICE CHARGE WAS: MORE THAN EXPECTED   LESS THAN EXPECTED   ABOUT RIGHT
7. WOULD YOU CHOOSE JEFF THE PLUMBER AGAIN? YES   NO

HOW DID YOU HEAR ABOUT JEFF THE PLUMBER?
Yellow Pages Newspaper Truck Recommendation
Information Mailer Repeat Customer Other  

COMMENTS:


CUSTOMER SATISFACTION IS OUR TOP PRIORITY.

THANK YOU FOR YOUR COMMENTS AND FOR CHOOSING

JEFF THE PLUMBER, INC.