How Did We Measure Up?

Name*

First Last

Address*

Street Address Address Line 2 City Postal Code

Did you get other estimates before deciding on our company?*

Yes
No

Why did you decide on our company to do your work? (Click all that apply)*

Reputation
Recommendation
Warranty
Lowest Price
Product Features
Other

How did you hear about our company?

Radio
Sign
Friend
Yellow Pages
Telephone
Homeshow
News Paper
Other

Please describe your overall satisfaction level with the job.*

Very Satisfied
Somewhat Satisfied
Somewhat Dissatisfied
Very Dissatisfied

May we use your name and address as a reference?*

Yes
No

Did you find our website helpful in answering any questions you may have had?*

Yes
No

Do you have any recommendations to make the website more helpful to you or future customers?*

Are you planning for any additional remodeling projects within the near future such as... (Click all that apply)*

Which of the following words would you use to describe our products? (Select all that apply)*

Reliable
High Quality
Unique
Good Value for money
Overpriced
Impractical
Poor Quality
Unreliable
Other

How responsive/helpful have we need to your questions/concerns about our products?*

Extremely Responsive
Very Responsive
Moderately Responsive
Not So Responsive
Not At All Responsive

How would you rate your Sales Representative?*

Poor
Excellent

Was the presentation informative?*

Yes
No

Was your Sales Representative courteous?*

Yes
No

Was our Office Staff helpful and courteous?*

Yes
No

How would you rate the Installation Crew?*

Poor
Excellent

Was the Installation Crew helpful and courteous?*

Yes
No

Was your installation done in a neat and professional manner?*

Yes
No

Are there any remaining issues we should be aware of?*

Yes
No

Would you recommend us to your friends and relatives?*

Yes
No

Please use this space for any additional comments you may have!

Name

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