Service Evaulation Template by Langstona

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This form was created for small business owners who provide services like home improvement or repair or computer service or repair or tailor/seamstress. The information and comments collected on the form can be used as a testimonial. The filled out form can be copied and distributed as a business reference.

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									XYZ COMPANY SERVICE EVALUATION
In an effort to deliver quality service to all our clients, XYZ COMPANY asks each client to take a moment and fill out this survey so that XYZ COMPANY can constantly evaluate the level of service being delivered to the customer.
Client Name: SO AND SO CLIENT Title: Owner Telephone: 000-999-9999 Company: ACME WIDGET COMPANY Address: 9999 Industrial Road, Industry City, CA 10001 Do you give permission for XYZ COMPANY to share this document as a business reference?: YES NO (circle one) May XYZ COMPANY have other potential clients contact you via telephone? : YES NO (circle one)

PLEASE GIVE A BRIEF DESCRIPTION OF THE WORK THAT WAS COMPLETED

PLEASE ANSWER QUESTION BY CIRCLING THE NUMBER THAT MOST CORRELATES TO YOUR EXPEREINCE. 5=I HIGHLY AGREE 4=I AGREE 3=I DO NOT AGREE OR DISAGREE 2=I DISAGREE 1=I HIGHLY DISAGREE How satisfied were you with the completed work?: 1 2 3 4 5 Any further comments:

QUOTE PROCESS : PLEASE ANSWER THESE QUESTIONS BY CIRCLING THE NUMBER THAT MOST CORRELATES TO YOUR EXPEREINCE. 5=I HIGHLY AGREE 4=I AGREE 3=I DO NOT AGREE OR DISAGREE 2=I DISAGREE 1=I HIGHLY DISAGREE The quote was delivered in a timely fashion: 1 2 3 4 5 The quote was clear and easy to understand: 1 2 3 4 5 The quote included all of the materials and services that would be needed to do the job which was being quoted: 12345 Any further comments:

WORK PROCESS: PLEASE ANSWER THESE QUESTIONS BY CIRCLING THE NUMBER THAT MOST CORRELATES TO YOUR EXPEREINCE. 5=I Highly agree 4=I agree 3=I do not agree or disagree 2=I disagree 1=I highly disagree XYZ COMPANY consistently showed up on the days XYZ said they would show up: 1 2 3 4 5 XYZ COMPANY consistently showed up on time: 1 2 3 4 5 XYZ COMPANY consistently communicated in a timely fashion if there was a reason they were going to be delayed: 1 2 3 4 5 XYZ COMPANY completed the stages of the job during the time frame that was promised: 1 2 3 4 5 XYZ COMANY left the work environment tidy at the end of each work day: 1 2 3 4 5 XYZ COMPANY left the work environment tidy at the end of the project: 1 2 3 4 5

XYZ COMPANY | www.XYZCOMPANY.com | PHONE: 888-123-4566 | FAX: 888-123-4567

XYZ COMPANY communicated well about any issues that came up during the project: 1 2 3 4 5 Any further comments on the work process:

PROFESSIONALISM: PLEASE ANSWER SOME QUESTIONS ABOUT BY CIRCLING THE NUMBER THAT MOST CORRELATES TO YOUR EXPEREINCE. 5=I Highly agree 4=I agree 3=I do not agree or disagree 2=I disagree 1=I highly disagree The XYZ COMPANY REPRESENTATIVE was professional when I spoke with him/her on the telephone: 1 2 3 4 5 XYZ COMPANY’s paperwork was filled out in a professional manner: 1 2 3 4 5 THE XYZ COMPANY REPRESENTATIVE dressed professionally and presented himself/herself professionally when I met him/her in person: 1 2 3 4 5 THE XYZ COMPANY REPRESENTATIVES behaved professionally when dealing with other vendors and/or contractors at my home or business: 1 2 3 4 5 Any further comments:

PLEASE ANSWER THESE QUESTIONS BY CIRCLING THE NUMBER THAT MOST CORRELATES TO YOUR EXPEREINCE. 5=I HIGHLY AGREE 4=I AGREE 3=I DO NOT AGREE OR DISAGREE 2=I DISAGREE 1=I HIGHLY DISAGREE I would recommend XYZ COMPANY to others for ABC TYPE projects: 1 2 3 4 5 It was easy to work with XYZ COMPANY OR THE XYZ COMPANY REPRESENTATIVE : 1 2 3 4 5 XYZ COMPANY made a reasonable attempt to accommodate me or my business regarding any issues with which I might have been dissatisfied during the project: 1 2 3 4 5 Any further comments:

PLEASE SIGN HERE Name: Title:

PLEASE RETURN THIS DOCUMENT This document can be faxed back to FAX: 888-123-4567 This document can also be scanned and e-mailed back to SURVEYS@XYZCOMPANY.BIZ This document can also be mailed back in the stamped envelope provided.

XYZ COMPANY | www.XYZCOMPANY.com | PHONE: 888-123-4566 | FAX: 888-123-4567


								
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