Tell us who you are.

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* 1. Tell us who you are.

Date

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* 2. Date

Enter date of cleaning service
Enter employee name and/or employee # from the 'How Did We Do' card.

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* 3. Enter employee name and/or employee # from the 'How Did We Do' card.

Kitchen - Overall, how did we do in your kitchen?

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* 4. Kitchen - Overall, how did we do in your kitchen?

Bedrooms - Overall, how did we do in your bedrooms?

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* 5. Bedrooms - Overall, how did we do in your bedrooms?

Bathrooms - Overall, how did we do in your bathrooms?

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* 6. Bathrooms - Overall, how did we do in your bathrooms?

Living Room / Family room - Overall, how did we do in your living or family room?

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* 7. Living Room / Family room - Overall, how did we do in your living or family room?

Entry way - Overall, how did we do in your entry way?

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* 8. Entry way - Overall, how did we do in your entry way?

Vacuuming / Floors - Overall, how did we do vacuuming and/or hard floors?

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* 9. Vacuuming / Floors - Overall, how did we do vacuuming and/or hard floors?

Dusting - Overall, how did we do dusting ceiling fans, knick knacks, blinds etc?

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* 10. Dusting - Overall, how did we do dusting ceiling fans, knick knacks, blinds etc?

Overall, how would you rate your experience with us?

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* 11. Overall, how would you rate your experience with us?

  Poor Fair Good Excellent
Scheduling
Timeliness
Professionalism of office staff
Friendliness of housekeepers
How likely are you to recommend our service to others?

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* 12. How likely are you to recommend our service to others?

Any additional comments or questions? (Please call the office for urgent concerns).

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* 13. Any additional comments or questions? (Please call the office for urgent concerns).

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