Heating & Air Conditioning Repair
215-315-3707

Customer Satisfaction Survey

About You...

Name
First* Last
Address*
City/State/Zip
City* State* Zip*
Telephone*
E-mail Address*

If you would like to refer a friend to us, please enter their contact information below.

Full Name
Telephone
E-Mail Address:

Purpose of Visit...

Which of the following best describes the purpose of your dealer's visit:

   

Sales/Installation

   

Service/Repair

Dealer Information...

Dealer Name:

Custom Aire Air Conditioning, Heating & Duct Clean

Telephone Number:

215-638-1800

HVAC ID #:

004024

Technician Use Only...

Tech #:
Job ID:

Your Experience...

1=Very Dissatisfied
-
10=Very Satisfied  
+  
 1 2 3 4 5 6 7 8 9 10 

Promptness of dealer personnel

Professional appearance (personnel/vehicles/etc.)

Kept my home neat and clean

Would you call us again for future service needs?

Sales representative took time to understand my needs

Installer left home clean and orderly after installation

Service explained in detail

Price and value

Completed the work in a timely manner

Resolved any issues to my satisfaction

Overall Satisfaction


1=Definitely Would Not
-                
   10=Definitely Would  
+  
 1 2 3 4 5 6 7 8 9 10 

How likely would you be to recommend Carrier products to a friend or colleague?

How likely are you to recommend this dealer to a friend or colleague?

Are you interested in a service and/or a maintenance agreement?

   

Yes

   

No

   

Already have


Where did you hear about us?

Radio     Yellow Pages     Internet     Friends and Family     Installers Truck     Newspaper     Television
Flyers     Magazine     Other

Please share any additional comments or describe in your own words your overall experience (for example, what you thought the dealer did exceptionally well, or what could have been better).