Online Customer Feedback Form

Thank you for taking the time to give us your feedback. We consider your feedback a valuable tool to in helping us to serve you better.

Name: first * last *

Invoice Num: * Date of Last Clean * (dd/mm/yy)

Address of Last Clean:

Address (Street No. & Name)*

Suburb*

( Click Here to notify us of a new address )

Current Contact Details:

Home Phone *

Work Phone

Mobile *

E-mail Address *

Que 1: Did we show consideration for your time ? Yes No

Que 2: Were we polite and pleasant? Yes No

Que 3: How would you rate our?

Phone Manner

Poor 1, 2, 3, 4, 5 Excellent

Professionalism

Poor 1, 2, 3, 4, 5 Excellent

Presentation

Poor 1, 2, 3, 4, 5 Excellent

Cleaning Effectiveness

Poor 1, 2, 3, 4, 5 Excellent

Price for Service

Under Priced 1, 2, 3, 4, 5 Over Priced

Que 4: Would you use us again? Yes No

( If No why )

Que 5: Would you recommend us to others? Yes No

( If No why )

( If Yes , Could we please ask you to pass our number on to your friends. Thank You! )

Please Read Our Privacy Statement and Click Submit

I have read this privacy statement and understand that no directors, contractor or employee of Stainfree Carpet Cleaning shall willfully pass on, share, sell or lease out the information in this form. That the information supplied shall by me is for the sole use of Stainfree Carpet Cleaning's marketing purposes. I understand that should I at anytime email Stainfree Carpet Cleaning to have my details removed from their database that my wish shall be respected and enforced. By submitting this form, I agree to the conditions detailed here.

I have read the above statement *

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