First Name
Last Name
Email
Please complete this questionaire.
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used to best serve our customers.
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We respect your privacy and will never
share personal information other than
initials and town of residence.
Your testimonials provide insight for
future clients.
Thank-You for taking the time to
provide this valuable information
hen
you submit this form you have agreed to
1. Which of our <<SERVICES>> have you used? Select all that apply.
<<Masonry Repair>>
<<Masonry Restoration>>
<<Masonry Installation>>
<<Masonry Removal>>
<<Masonry sealing>>
Other
Comments
2.
How would you rate your level of satisfaction with us?
Highly satisfied Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
3. How do we rate on the following attributes?
Well Below Below Average Above Well Above
Average Average Average Average
Customer service
Professionalism
Quality of <<PRODUCTS/SERVICES>>
Understanding customers' needs
Sales staff
Price
Comment:
4. How likely are you to continue doing business with us?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Somewhat unlikely
Very unlikely
5. How likely is it that you would recommend our <<PRODUCTS/SERVICES>> to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
6. Do you have any suggestions for improving our <<PRODUCTS/SERVICES>>?
7. Please use this space for
your testimonial
(please describe your experience with us).
Thank-You
Customer Testimonial Form
