Customer
    Satisfaction Form.

     

  
As companies grow larger and larger, the importance of customer 
satisfaction is often overlooked. NOT SO WITH RAY A. SHAFFER INC. 
Please help us maintain our high standard of quality service by answering the 
following few questions.
  

 

Phone Representative was...... Pleasant Courteous Poor
Work Performed was............... Good Fair Poor
Employee's appearance was.... Neat Clean Poor
Employee's attitude was.......... Pleasant Courteous Poor 
Service Charge was................. More than expected  About right  Less than expected 
Would you use Ray A. Shaffer again? YES  NO  MAYBE  



How did you hear about
us?

    Donnelly Yellow Pages
    Newspaper advertisement
    Suggested by others 

    Bell of PA Yellow Pages
    T.V. Advertisement 
    
Other 
 



    Radio Advertisement
    Repeat Customer


Personal Data
Customer Name:

    		Phone:

    		Email Address:

    
 

I would like more information on: 
Plumbing
Pumps
Heating


Water Conditioning
Air Conditioning




Work Order#

    


    
Additional Information:

    






     
     
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