CustomerSurvey

Your name*

First Name

Last Name

Email*

Address where service was performed*

Address Line 1

Address Line 2

City

State

ZIP Code

What type of service was performed?*

Checkbox*

Television Radio Web / Online Billboard Magazine Newspaper Family or Friend / Current Customer

Why did you choose Rinaldi’s?

How would you rate our team in the following areas*

How would you rate our team in the following areas
	Very Good	Good	Fair	Poor	Very Poor
Attitude of person that took your call	How would you rate our team in the following areas: Attitude of person that took your call (Very Good)	Attitude of person that took your call (Good)	Attitude of person that took your call (Fair)	Attitude of person that took your call (Poor)	Attitude of person that took your call (Very Poor)
Scheduling process	Scheduling process (Very Good)	Scheduling process (Good)	Scheduling process (Fair)	Scheduling process (Poor)	Scheduling process (Very Poor)
Attitude and professionalism of technician	Attitude and professionalism of technician (Very Good)	Attitude and professionalism of technician (Good)	Attitude and professionalism of technician (Fair)	Attitude and professionalism of technician (Poor)	Attitude and professionalism of technician (Very Poor)
Neatness and cleanliness of technician	Neatness and cleanliness of technician (Very Good)	Neatness and cleanliness of technician (Good)	Neatness and cleanliness of technician (Fair)	Neatness and cleanliness of technician (Poor)	Neatness and cleanliness of technician (Very Poor)
Knowledge and workmanship of technician	Knowledge and workmanship of technician (Very Good)	Knowledge and workmanship of technician (Good)	Knowledge and workmanship of technician (Fair)	Knowledge and workmanship of technician (Poor)	Knowledge and workmanship of technician (Very Poor)
Technician’s explanation of work that was done	Technician’s explanation of work that was done (Very Good)	Technician’s explanation of work that was done (Good)	Technician’s explanation of work that was done (Fair)	Technician’s explanation of work that was done (Poor)	Technician’s explanation of work that was done (Very Poor)
Value for service provided	Value for service provided (Very Good)	Value for service provided (Good)	Value for service provided (Fair)	Value for service provided (Poor)	Value for service provided (Very Poor)
Answering of questions to your satisfaction	Answering of questions to your satisfaction (Very Good)	Answering of questions to your satisfaction (Good)	Answering of questions to your satisfaction (Fair)	Answering of questions to your satisfaction (Poor)	Answering of questions to your satisfaction (Very Poor)

Did the technician arrive at the scheduled time?*

Yes No

Did we satisfy/fix your issue?*

Yes No

Would you recommend Rinaldi’s to your friends / family?*

Yes No

Do you have any comments, concerns or suggestions about your experience with us?

Customer Satisfaction Survey