Name
Address
City
Phone
Date

 

Promptness	Excellent Satisfactory Needs Improvement
Neatness/Efficiency	Excellent Satisfactory Needs Improvement
Customer Service	Excellent Satisfactory Needs Improvement
Appearance	Excellent Satisfactory Needs Improvement
Overall Quality	Excellent Satisfactory Needs Improvement
Overall Value	Excellent Satisfactory Needs Improvement

Do you feel you received quality of service that was promised
to you?

Yes No

Was the crew responsive to any special concerns you may have had?

Yes No

Were you asked to review the job with a member of the staff?

Yes No

What did we do that you especially liked?

Could we improve?

May we use your name as a reference?

Yes No

Stried Painting, Inc.
Grayslake, Illinois 60030
Phone 847-986-3570 • Fax 986-3575