Title Page

  • Conducted on

  • Prepared by

  • Customer Name

  • Please respond in the blanks with a number from 1-5. 1 meaning we need a lot of work in this area. 5 meaning we are doing a great job here. Thank You

  • Could you rank your experience with our office staff?

  • What areas can we improve upon with our office staff?

  • Is your cleaning team respectful and courteous?

  • Any Other Comments

  • For the following questions below we would like to know what you think about the quality in each specific area of your home. Help us do our best to better serve you.

  • Rate Living Areas

  • Rate the Bathroom Areas

  • Rate the Kitchen Areas

  • Rate the Vacuuming

  • Rate the Detail Cleaning

  • Any Other Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.