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Customer Survey
Contact Information
Your Name
(required)
Email Address
(valid email required)
Phone Number
(required)
Feedback
Were you greeted promptly and treated courteously by our managers?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Did our managers clearly explain the recommended repairs?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Did you have any work performed during this visit?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Was your job finished on time?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Was the work done correctly the first time?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Overall, was our work satisfactory?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Were the charges within estimate?
Very Satisfied
Somewhat Satisfied
Dissatisfied
Would you recommend our services to others?
Yes
No
Would you like us to call you for further discussion?
Yes
No
How did you first contact Heilman concerning your visit?
Phone Call
Website
Walked in
If you contacted by phone, approximately how many rings did it take before the phone was answered?
Less than 2 rings
More than 2 rings
Not Sure
How did you hear about us?
Word of Mouth
Pennysaver
Newspaper Ad
Radio Ad
TV Ad
Saw Billboard
Saw Location
Google
Additional comments or suggestions:
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