Service Questionnaire

       
Name:      
Address:       
City:       
State:                

Zip Code:    

   

Phone:   

   

Email:   

   

Date of Service: 

   

Type of service

Plumbing Services Sewer & Drain Services

Heating or Cooling Services  
 
On a scale of 1 - 4  rate, as 1 being very dissatisfied and 4 being Very Satisfied

 Ease in making an appointment:

  1   2   3   4  

Performance of office staff:

  1   2   3   4  

Was the Technician on time?

  1   2   3   4  

Was the Technician courteous & professional? 

  1   2   3   4  

Did the service reflect the price paid?

  Yes   No

Was area cleaned after work was completed?

  Yes   No

Where questions answered satisfactory?

  Yes   No

Would you recommend us?

  Yes   No

May we use your comments?

  Yes   No
   

Comment on your experience with City Plumbing.