Customer Name*Zip Code*How would you rate the quality of the service on a scale of 1 to 5, 1 being poor and 5 excellent?54321Overall, how satisfied or dissatisfied are you with the technicians knowledge and service on a a scale of 1 to 5, 1 being poor and 5 excellent?54321How satisfied were you with our office staff, from the initial call to answering your questions or concerns about our services, on a scale of 1 to 5, 1 being poor and 5 excellent?54321Did the technician leave all areas where the services were performed clean and free of debris?YesNoIf no, please provide details or call us to discuss further.Technician(s) Name(s)*How likely are you to use our services again?Extremely LikelyVery LikelySomewhat LikelyNot So LikelyNot At All LikelyHow likely is it that you would recommend The Chimney Chap to family, a friend or colleague on a scale of 1 to 5, 1 being poor and 5 excellent?54321
