Schultz Plumbing Customer Feedback

Your Feedback.

Schultz Plumbing aims to provide a professional service every time and we appreciate your feedback, good or bad!

Please help us by taking a couple of minutes to complete this form.

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Customer Details

*	Name
	Business Name
	Phone No. (best for contact)
*	Email Address
	Job Address
	Job Date (please select)
*	Plumbers Name
*	Job Performed
	Ratings (score these questions from 1 to 5. 1 means you strongly disagree and 5 means you strongly agree)

	You were satisfied with the work undertaken
	Plumber was courteous and efficient
	Plumber arrived within expected time frame
	How did you hear about Schultz Plumbing?
	Why did you choose Schultz Plumbing?
	Would you recommend our service?	Yes No
	Would you write a testimonial recommending our services? If yes, please do so here.
	Suggestions for improvement:
	Concerns:
	What further help might you need from us?
	Would you like us to contact you about this?	Yes No
	Testimonial release (Please check the correct buttons and sign below)
	Do you give us permission to publish these comments as a testimonial?	Yes No
	Do you give us permission to use your name with the testimonial?	Yes No
	Your Name

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