How Did We Do? Question Title * 1. Tell us who you are. Client name City Question Title * 2. Date Enter date of cleaning service Date Question Title * 3. Enter employee name and/or employee # from the 'How Did We Do' card. Sr. Housekeeper name Question Title * 4. Kitchen - Overall, how did we do in your kitchen? Very Poor! Not very good Ok Good Amazing job! Very Poor! Not very good Ok Good Amazing job! Comments (optional) Question Title * 5. Bedrooms - Overall, how did we do in your bedrooms? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 6. Bathrooms - Overall, how did we do in your bathrooms? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 7. Living Room / Family room - Overall, how did we do in your living or family room? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 8. Entry way - Overall, how did we do in your entry way? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 9. Vacuuming / Floors - Overall, how did we do vacuuming and/or hard floors? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 10. Dusting - Overall, how did we do dusting ceiling fans, knick knacks, blinds etc? Very Poor! Not very good Ok Good Amazing Job! Very Poor! Not very good Ok Good Amazing Job! Comments (optional) Question Title * 11. Overall, how would you rate your experience with us? Poor Fair Good Excellent Scheduling Scheduling Poor Scheduling Fair Scheduling Good Scheduling Excellent Timeliness Timeliness Poor Timeliness Fair Timeliness Good Timeliness Excellent Professionalism of office staff Professionalism of office staff Poor Professionalism of office staff Fair Professionalism of office staff Good Professionalism of office staff Excellent Friendliness of housekeepers Friendliness of housekeepers Poor Friendliness of housekeepers Fair Friendliness of housekeepers Good Friendliness of housekeepers Excellent Other comments (optional) Question Title * 12. How likely are you to recommend our service to others? Not likely at all! Maybe I will tell all my friends and family! Not likely at all! Maybe I will tell all my friends and family! Question Title * 13. Any additional comments or questions? (Please call the office for urgent concerns). Done
