Satisfaction Survey Enter your Name or Client ID: Date of Clean: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2007 2008 Was your service provider on time? Yes No Wasn't home when they arrived Was your service provider courteous? Yes No Wasn't home when they arrived Please rate the quality of the bathroom cleaning? Unacceptable Needs Improving Satisfactory Excellent Please rate the quality of the kitchen cleaning? Unacceptable Needs Improving Satistactory Excellent Please rate the quality of the dusting? Unacceptable Needs Improving Satisfactory Excellent Please rate the quality of the floor cleaning? Unacceptable Needs Improving Satisfactory Excellent Please rate the overall quality of the service? Unacceptable Needs Improving Satisfactory Excellent Please express anything further (if applicable) here: Enter your email address: Confirm your email address:
