Customer Feedback Form

*Customer:

Date:

*Town:

Phone:

E-mail address:

Comments:

COURTEOUS?
Yes
Somewhat
No

NEAT?
Yes
Somewhat
No

HARD WORKING?
Yes
No

RELIABLE?
Yes
No

Would you rate our overall effort good?
Yes
Somewhat
No

Would you use United Painting again?
Yes
Maybe
No

Would you recommend us to others?
Yes
Maybe
No

Can we use you as a reference?
Yes
Maybe
No

Please list anyone who could benefit from our services: