Customer Feedback Survey

Countryside Heating & Cooling Customer Feedback Survey

Name:

Phone:
Address:
City/Zip:
Scheduling:	My service was scheduled promptly My technician came on time
	My technician was running late but informed me of the delay My technician was running late but did not inform me of the delay Not home during the visit
Equipment:	Furnace Maintenance Air Conditioner Maintenance 24 Hour Emergency Service Commercial Service Fireplace Service Other:
Service:	Please rate our service on the scale with 10 the highest. Was the technician(s) curtious and professional? 1 2 3 4 5 6 7 8 9 10 Was the work area left clean? 1 2 3 4 5 6 7 8 9 10 Was I informed about the service required and my options? Yes No Was I information on future maintenance of my equipment? Yes No
Other:	How long have you been a Countryside Customer? First time service 1-3 Years 3+ Years
	I am also a Fireplace Creations customer
Message:	May we quote your message? Yes No

	Thank you for choosing Countryside Heating & Cooling. We appreciate your time to give us your feedback.