Customer Feedback

Timeliness, of request response.*

PLEASE RATE THE SERVICE PERFORMED WITH USE A SCALE OF 1 TO 5 (1 = POOR, 2 = NEEDS IMPROVEMENT, 3 = ACCEPTABLE, 4 = GOOD, 5 = EXCELLENT). PLEASE SELECT THE MOST APPROPRIATE NUMBER FOR EACH.

Professionalism, of the technician.*

Cleanliness, of the item or area.*

Satisfaction, in the service/task completion.*

Comments / Suggestions:

WRITTEN COMMENTS ARE ALSO WELCOME. IF YOU DO NOT WISH TO ANSWER A QUESTION OR ARE UNSURE OF THE ANSWER, SIMPLY LEAVE IT BLANK.

Work Order # or Description of Service performed:

Building/Area/Room:

Date:

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