Questionnaire

Questionnaire

Please evaluate our Service and/or Parts Dept.

Customer Name

Equipment Serviced

Work Order#, 5 digits

Service Department
1=Poor and 5=Excellent

Equipment time length at Burton's   1 2 3 4 5

Job completed when promised 1 2 3 4 5

Professionalism of Service Personnel 1 2 3 4 5

Cleanliness of service facility 1 2 3 4 5

Accuracy of diagnosis/repair quality    1 2 3 4 5

Value of service for price charged 1 2 3 4 5

Overall satisfaction with service 1 2 3 4 5

Parts Department
1=Poor and 5=Excellent

Length of time to get quote 1 2 3 4 5

Quote given when promised   1 2 3 4 5

Professionalism of Parts Personnel 1 2 3 4 5

Cleanliness of parts area    1 2 3 4 5

Correct part received 1 2 3 4 5

Competitive parts pricing 1 2 3 4 5

Overall satisfaction with Parts Dept 1 2 3 4 5

Comments/Suggestions

If you would like us to contact you regarding this questionnaire, please provide the following information:

Full Name

Phone, 10 digits

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