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Appliance Repair Service Satisfaction Survey

Provide direct feedback on the appliance repair service you received

At Mr. Appliance we strive to deliver world class appliance repair service to each and every customer. Every customer and every repair job is important to us. Your feedback and comments are always welcome whether it was a large repair or a small one. There are no small jobs when it comes to customer service. Please take a moment to fill out this important survey to let us know how we did.

Contact Information

First Name: *
Last Name: *
E-mail Address: *
Phone:
Fax:

Address

Address: *
Address 2: (Apartment/Suite #)
City: *
State/Province: *
Zip/Postal Code: *

Survey Questions

Date of Service:
Name of Technician:
Will you call us again for service? Yes No
How would you rate our office personnel?
1. Professional Great Good Fair Poor
2. Courteous Great Good Fair Poor
3. Helpful Great Good Fair Poor
4. Cheerful Great Good Fair Poor
5. Informative Great Good Fair Poor
6. Knowledgeable Great Good Fair Poor
How would you rate our technicians?
1. Prompt Great Good Fair Poor
2. Professional Great Good Fair Poor
3. Courteous Great Good Fair Poor
4. Cheerful Great Good Fair Poor
5. Appearance Great Good Fair Poor
6. Quality Great Good Fair Poor
7. Work Area Great Good Fair Poor
Questions or comments concerning your experience with us:
* - indicates required field
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