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Customer Feedback & Entry Form |
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By filling out this short questionnaire, you are helping us to serve
you better. Your email address will be added to our mailing list and
not shared with any other company. After completing the survey, a
$5 coupon will be emailed to you for your next visit to
show our appreciation for your time. Your information will also be
entered into our monthly drawing for a $50
Pre-Paid Gas Card! GOOD LUCK!
(winners will be announced by email)
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| First Name |
Last Name
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| Email Address |
(this
is where your coupon will be sent) |
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Check
this box if you would prefer to NOT
have your identity associated with this survey response |
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1.
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How satisfied were you with the friendliness of our Service Staff?
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1 |
2 |
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5 |
(1=low, 5=high) |
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2.
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How satisfied were you that the Service Staff
listened & understood your needs?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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3.
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How satisfied were you with the length of time
required to complete the service work?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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4.
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How satisfied were you with the explanation of
repairs and charges?
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1 |
2 |
3 |
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5 |
(1=low, 5=high) |
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5.
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How satisfied were you with the quality of the
Service Work performed on your vehicle?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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6.
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How satisfied were you with the cleanliness of our
facility?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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7.
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Overall, how would you rate the experience of your
last visit?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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8.
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How likely are you to recommend our services to a friend?
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1 |
2 |
3 |
4 |
5 |
(1=low, 5=high) |
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9.
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If you are a new customer, how did you hear about us?
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