Customer Satisfaction Survey (Report Card)

Customer Report Card

• Audit Title - Job # / Customer

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

It is our desire to improve our service with each job that we do. Your honest response to the following will help us accomplish this.

A - Exceeded Expectations B - Met Expectations C - Below Expectations

• Prompt

  A

  B

  C

• Efficiency

  A

  B

  C

• Well Mannered

  A

  B

  C

• Clean and Uniformed

  A

  B

  C

• Overall Quality

  A

  B

  C

• Overall Value

  A

  B

  C

• Would you recommend our products and services to a friend or colleague? (1-Never, 10-Definitely)

• Additional comments you would like to share with us?

• May we use you as a reference?

  Yes

  No

• Customer Signature

  Sign