Please take the following survey to help us improve our business.

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* 1. Address

Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 2. When was the service performed?

Date:

Date

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* 3. How did you hear about our company?

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* 4. Cleaning Technicians Name:

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* 5. Compared to our competitors, are our service's prices higher, lower, or about the same?

A great deal higher

Quite a bit higher

Somewhat higher

About the same

Somewhat lower

Quite a bit lower

A great deal lower

Don't know

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* 6. How likely is it that you would recommend us to a friend or colleague?

Not at all likely

Extremely likely

0

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

5

6

7

8

9

10

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* 7. Evaluate the following statements.

	Yes	No
Did Carpet Care Cleaners show up on time?	Did Carpet Care Cleaners show up on time? Yes	Did Carpet Care Cleaners show up on time? No
Was the cleaning technician friendly and professional?	Was the cleaning technician friendly and professional? Yes	Was the cleaning technician friendly and professional? No
Was the cleaning technician respectful of you and your belongings?	Was the cleaning technician respectful of you and your belongings? Yes	Was the cleaning technician respectful of you and your belongings? No
Were you delighted by how well the job turned out?	Were you delighted by how well the job turned out? Yes	Were you delighted by how well the job turned out? No
Was the final price exactly what was quoted?	Was the final price exactly what was quoted? Yes	Was the final price exactly what was quoted? No
Did the carpets dry as fast as you were told?	Did the carpets dry as fast as you were told? Yes	Did the carpets dry as fast as you were told? No

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* 8. How long did it take for your carpets to dry?

Details:

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* 9. Do you have any other comments, questions, or concerns?