Client Satisfaction Survey

We value your feedback - rate our floor & carpet cleaning, care, restoration and maintenance

BOLD denotes required information.


Company Name:

Store #:

Contact Name:

Phone:
	(xxx) xxx-xxxx

Email:
	xxxxxxxx@anysite.com

Address:

City:

State:

Zip:

	Was our office staff professional, polite and courteous?
	Yes No

	Did our technicians perform the work in a timely manner?
	Yes No

	Were our technicians polite & professional?
	Yes No

	How would you rate your floor's overall improvement:
	Excellent Good Average Poor

	Do you require any additional cleaning supplies?
	Yes No

Additional Comments (please be specific.):

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