Neerings Plumbing, Heating, and Air Conditioning

1-877 FIX THAT
1-877(349-8428)

Dear Customer,

Please help us maintain our high standard of quality service by answering the following questions:
(upon completion we will give you a great money saving offer as a thank you)

Service Call Step	1	4
Service Call Step	Poor	Excellent
Preparedness Technician's preparedness for the service call (had the correct tools, parts and equipment necessary to complete work)
Greeting Technician's courtesy, friendliness and attentiveness (understood my problem, respected my home/property and explained the agenda for the call)
Exploration Technician's understanding of all my issues/concerns and advice on topics I may have been unaware of
Technician's listening skills and attentiveness to my situation before recommending solutions
Presentation Technician's documentation of all findings with alternatives for completing the work
Technician's explanation of the options for correcting each service task and all associated prices
Execution Technician's completion of agreed upon work
Technician's communication of work completed/review of how it was done
Technician's explanation of the invoice and collection of payment
Technician's discussion of your satisfaction and concerns

Would you utilize our services again? (pick one)

Yes

Maybe

Reason for choosing our company/who can we thank for your business?

Yellow pages
Internet
Newspaper
Television

Repeat Customer
Suggested by Others
Referred by:

What went particularly well?

What could have been done differently?

Additional Comments:

Customer Name: (optional)

Customer Email: (optional)

Technician's Name: (required)

Invoice number: (required)

Date: