How Are We Doing?
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1. What service(s) did we provide you?

What service(s) did we provide you?

2. Please rate us on the following

	Very Poor	Poor	Neutral	Good	Excellent
Quality of the service(s) we provided you?	*Please rate us on the following Quality of the service(s) we provided you? Very Poor	Quality of the service(s) we provided you? Poor	Quality of the service(s) we provided you? Neutral	Quality of the service(s) we provided you? Good	Quality of the service(s) we provided you? Excellent
Quality of the customer service?	Quality of the customer service? Very Poor	Quality of the customer service? Poor	Quality of the customer service? Neutral	Quality of the customer service? Good	Quality of the customer service? Excellent
Turn-around time?	Turn-around time? Very Poor	Turn-around time? Poor	Turn-around time? Neutral	Turn-around time? Good	Turn-around time? Excellent

How could we improve our service to you in the future?

3. How did you hear about us?

How did you hear about us? Radio

Internet

Television

Flyer

Post Card

Word of Mouth

Phone Book

Other (please specify)

4. What services would you like us to offer in the future?

What services would you like us to offer in the future?

5. General comments

General comments

6. Please provide us a little more about yourself.

Please provide us a little more about yourself. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

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How Are We Doing?Exit this survey