JANECEK HOME IMPROVEMENT
CUSTOMER QUESTIONNAIRE
FOR:

BRIAN & LISA COURTNEY
10244 CHERRYHILL
CONCORD, OHIO 44077

PLEASE CIRCLE THE NUMBER THAT APPLIES, WITH (1) BEING THE POOREST RATING, AND (5) BEING THE SUPERIOR RATING. PLEASE COMPLETE AND RETURN IN THE PRE-PAID POSTAGE ENVELOPE.

1. How was our service?	1 2 3 4 5
2. Were phone call returned promptly?	1 2 3 4 5
3. Were your questions and concerns answered thoroughly?	1 2 3 4 5
4. Was job completed for the specified amount of time (excluding weather)?	1 2 3 4 5
5. Was job completed for the specified amount on the contract (excluding extras)?	1 2 3 4 5
6. Was site left clean when job was completed?	1 2 3 4 5
7. Would you recommend our company to friends and family, why?Yes, courteous and reasonably priced
8. May we use your name and number as a reference? YES
9. Please list reasons why you chose our company. Cost, references
10. Please list areas in which our company could improve. None

Signature: SIGNATURE ON FILE