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2. Please take a moment to complete our survey. Your comments are greatly appreciated!
4. Date(s) of request or work:
   Date(s) of request or work:
6. Were you addressed in a courteous manner by staff?

   1. Yes

   1. No
8. Customer Service

   1. Excellent

   1. Good

   1. Fair

   1. Poor
10. Response Time

    1. Excellent

    1. Good

    1. Fair

    1. Poor
12. Response Time

    1. Excellent

    1. Good

    1. Fair

    1. Poor
14. Quality of Work

    1. Excellent

    1. Good

    1. Fair

    1. Poor
16. Was this a follow-up to a previous repair?

    1. Yes

    1. No
18. Were all requested services performed?

    1. Yes
    2. No
20. Please comment on what was not done?
22. How many days was the vehicle in the shop?
24. Was the vehicle returned in the same cleanliness as when it went in for repairs?

    1. Yes

    1. No

    1. Better
26. Comments
28. If you would like us to contact you to follow up on this information, please provide your phone number or email address.
32. Thank you for taking the time to give us your valuable feedback.
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34. 1. Receive an email copy of this form.
35. Email address

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36. Submit

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