Customer Comment Card
(Optional)
Customer Name: Phone Number:
Comments or Suggestions?
Survey Item 1. Description of Item 2. Description of Item 3. Description of Item 4. Description of Item
Service Rating 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
5 4 3 2 1
Excellent Very Good Good Fair Poor
Customer Comment Card
(Optional)
Customer Name: Phone Number:
Comments or Suggestions?
Survey Item 1. Description of Item 2. Description of Item 3. Description of Item 4. Description of Item
Service Rating 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1
5 4 3 2 1
Excellent Very Good Good Fair Poor