Feedback

While it is not necessary to provide your information for the purpose of this survey, if you would like us to respond to you, please let us know how we should contact you:

1. Were you provided with all the information you needed for follow-up care?

Yes No

2. How would you rate the courtesy and professionalism you were extended?

Poor Fair Good Excellent

3. How would you rate the quality of the service performed?

Poor Fair Good Excellent

4. How would you rate the cleanliness of the job site after the service was completed?

Poor   Fair    Good    Excellent

5. Please describe any areas where we exceeded your expectations or were not satisfied with the job performed:

6. Would you recommend our company to others?

Yes No

7. What do you think of our website? Has it been helpful? Easy to navigate? Please let us know your thoughts:

If you have any general comments, please enter them here:

May we quote your comments in our web or print publications? Yes No