Satisfaction Survey Form

Contact information

First Name

Last Name

Middle Initial

Address 1

Address 2

City

State/Province

Zip/Postal Code

Home Phone

E-mail

Confirm E-mail

Job Number:

Job Number or Date of Service:

Survey:

Comments:

Is there any question or unresolved issue you may have where you would like us to call you?

Yes No

Do you have any comments, concerns or suggestions about your latest experience with Richair Comfort Solutions, Inc. that you would like to share with us?

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1. Did our technician arrive when expected?	Yes No
2. Was the job completed to your satisfaction and expectations?	Poor OK Great
3. Did our technician adequately communicate the services performed, the associated charges and answer all your questions?	Poor OK Great
4. Was our Technician courteous and did he treat your home with respect?	Poor OK Great
5. Did our technician clean up the work area properly?	Poor OK Great
6. Was our office staff helpful and courteous?	Poor OK Great
7. How do you rate our overall performance?	Poor OK Great
8. What is the chance that you would recommend Richair Comfort Solutions to a friend or relative?	Poor OK Great
9. Please rate your overall experience with Richair Comfort Solutions.	Poor OK Great