Customer Satisfaction Survey Full Name Address City State Zip Phone Email Was our office staff helpful and coureous? YesNo Were your questions answered satisfactorily? YesNo Did our technician arrive at the estimated time? YesNo Did our technician greet you pleasantly? YesNo Is his appearance satisfactory? YesNo Is our technician courteous? YesNo Does the humidity affect anyone in the home during the summer? YesNo Does anyone in your home suffer from allergies? YesNo Do you have to dust often? YesNo Is there ever a damp or musty odor in your home? YesNo Would you like to receive a discount on today’s call? YesNo What is approximate age of your cooling system? 1-5 Years6-10 Years11+ Years What is the approximate age of your heating system? 1-5 Years6-10 Years11+ Years Which rooms in the house are the least comfortable? BedroomsLiving RoomKitchenBathroomsDining RoomGarageBasement What is your typical electric bill? Summer Winter What is your typical gas/oil bill? Summer Winter What do you not like about your present heating and cooling system? Additional Comments Please rate our service on a scale of 1–10 with 10 being the highest: 12345678910
