Updated Client Survey Question Title * 1. Please rate the following areas of cleaning in your home. Poor Fair Good Excellent Kitchen Kitchen Poor Kitchen Fair Kitchen Good Kitchen Excellent Bathrooms Bathrooms Poor Bathrooms Fair Bathrooms Good Bathrooms Excellent Floors Floors Poor Floors Fair Floors Good Floors Excellent Dusting Dusting Poor Dusting Fair Dusting Good Dusting Excellent Vacuuming Vacuuming Poor Vacuuming Fair Vacuuming Good Vacuuming Excellent Comments or concerns regarding the stated areas. Question Title * 2. Did you have any specific requests for this recent cleaning? Yes No Question Title * 3. If you answered yes to question 2, was the request fulfilled? Yes No Comments or concerns regarding your specific cleaning requests. Question Title * 4. Do you have any specific requests or concerns that you would like addressed during our next visit? Question Title * 5. Do you enjoy the scent of the products? Yes Would like to change If you would like to change, what scent would you like? Question Title * 6. Please rate the following in regards to the cleaning professional that visited today. Excellent Good Fair Poor NA Interactions with you were professional Interactions with you were professional Excellent Interactions with you were professional Good Interactions with you were professional Fair Interactions with you were professional Poor Interactions with you were professional NA Their presence in your home was peaceful Their presence in your home was peaceful Excellent Their presence in your home was peaceful Good Their presence in your home was peaceful Fair Their presence in your home was peaceful Poor Their presence in your home was peaceful NA The only evidence left behind was a clean, sparkling home The only evidence left behind was a clean, sparkling home Excellent The only evidence left behind was a clean, sparkling home Good The only evidence left behind was a clean, sparkling home Fair The only evidence left behind was a clean, sparkling home Poor The only evidence left behind was a clean, sparkling home NA They used their time efficiently and effectively They used their time efficiently and effectively Excellent They used their time efficiently and effectively Good They used their time efficiently and effectively Fair They used their time efficiently and effectively Poor They used their time efficiently and effectively NA interactions with co-workers were professional interactions with co-workers were professional Excellent interactions with co-workers were professional Good interactions with co-workers were professional Fair interactions with co-workers were professional Poor interactions with co-workers were professional NA Concerns or requests regarding interactions with your cleaning professionals. Question Title * 7. We enjoy working with you and wish to continue to meet all your needs. If you have any comments, requests or concerns, please take a moment to let us know. Thank you for your time in this matter! Question Title * 8. To keep our records up to date please answer the following: Name Address Address 2 City/Town ZIP/Postal Code Email Address Phone Number Next
