Name:

Email:

Phone:

Preferred method of contact:
---PhoneEmail

Directions: After each question please write a number corresponding to the answer that best reflects your opinion.

*Put a N/A if not sure or not applicable.

Very Dissatisfied Satisfied
1 2 3 4 5 6 7 8 9 10

How satisfied are you with the following aspects of your service experience?*
a. On time arrival---N/A12345678910
b. Courteous on the job site---N/A12345678910
c. Quality of cleaning job---N/A12345678910
d. Responsiveness to your special interests---N/A12345678910
e. Telephone courtesy---N/A12345678910
f. Responsiveness of office staff---N/A12345678910
g. Schedule availability---N/A12345678910
h. Amount of information offered---N/A12345678910
i. Overall performance---N/A12345678910
j. Our experience---N/A12345678910
k. Our guarantee---N/A12345678910

After using our service, are you more or less likely to use us again?*
---More LikelyLess Likely

After using Buddy's Carpet Care, are you more or less likely to refer someone to us?*
---More LikelyLess Likely

Are you aware of the Buddy's Carpet Care Referral Program?*
---YesNo

Additional Comments:

What did you like best about our service?*

What could we improve on?*

Did we do what we said we would do?*

May we use your testimonial on our website or blog?
YesNo

Tuft Aide -Buddy's Carpet Care will read all customer comments. Thank you for helping us accomplish our mission!