Air Quality Services, Inc.

*First Name:

*Last Name:

Address

Address:

City:

State/Province:

Postal Code:

Primary Phone Number:

Can the above number receive texts?

Yes

Secondary Phone Number:

Can the above number receive texts?

Yes

*Email address:

*Confirm email address:

*Job Number or Date of Service:

Survey

Did our technician arrive when expected?

Yes

No

Was the job completed to your satisfaction and expectations?

Poor

Below Average

OK

Good

Great

Did our technician adequately communicate the services performed, the associated charges and answer all your questions?

Poor

Below Average

OK

Good

Great

Was our Technician courteous and did he treat your home with respect?

Poor

Below Average

OK

Good

Great

Did our technician clean up the work area properly?

Poor

Below Average

OK

Good

Great

Was our office staff helpful and courteous?

Poor

Below Average

OK

Good

Great

Please rate your overall experience with Air Quality Services, Inc..

Poor

Below Average

OK

Good

Great

What is the chance that you would recommend Air Quality Services, Inc. to others?

Poor

Below Average

OK

Good

Great

Comments

Is there any question or unresolved issue you may have where you would like us to call you?

Yes

No

Do you have any comments, concerns or suggestions about your latest experience with Air Quality Services, Inc. that you would like to share with us?:

Feel free to upload a picture as well:

(952) 928-3838

Satisfaction Survey

Satisfaction Survey Form

Contact Information