* 1. Tell us who you are.

* 2. Date

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

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

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

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

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

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

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

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

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

  Poor Fair Good Excellent
Scheduling
Timeliness
Professionalism of office staff
Friendliness of housekeepers

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

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

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