Customer Survey
* Indicates required fields.

1. How would you rate this auto center?
      Excellent    Good    Fair    Poor  
2. Were you satisfied with the repair work?
      Yes    No  
3. Were the personnel courteous, efficient, and knowledgeable?
      Yes    No  
4. Was the estimate for work performed accurate or if additional work was necessary, were you consulted?
      Yes    No  
5. Were the facilities clean and neat?
      Yes    No  
6. Was your vehicle ready on time?
      Yes    No  
7. Have you used this service or repair center before?
      Yes    No  
8. Would you return to this shop again?
      Yes    No  
9. If you could change one thing about this auto center, what would it be:

    

10. Any other comments you might have:

    

*Address of Location visited:  

Date of Visit :  

*Name: 
Address: 
City: 
State: 
Zip: 
Phone: 
Email: