1. How satisfied are you with the following:

a. On time arrival

1 2 3 4 5

b. Courteousness in your home

1 2 3 4 5

c. Quality of cleaning job

1 2 3 4 5

d. Response to your requests

1 2 3 4 5

e. Telephone courtesy

1 2 3 4 5

f. Schedule Availability

1 2 3 4 5

g. Answers to your questions

1 2 3 4 5

h. Overall level of service

1 2 3 4 5

i. Our guarantee

1 2 3 4 5

2. What did you like MOST about Mobley's Carpet & Upholstery  Cleaning?

3. What did you like LEAST about Mobley's Carpet & Upholstery Cleaning?

4. After using our service, are you more or less likely to use us again?

More Likely
Less likely

5. After using Mobley's Carpet & Upholstery Cleaning, are you more or less likely to refer family or friends to us?

More Likely
Less likely

6. Do you know about Mobley's Carpet & Upholstery Cleaning Referral Program?

Yes
No

7. Please provide us your contact information

Name
Home Phone
E-mail

8. Would you like us to add your name and email address to our list of clients that we send cleaning tips, special offers and reminders to?

Yes
No

9. Would you like us to send you a reminder every:

3 months
6 months
9 months
year

10. Additional Comments

11.May we use your comments on our web site and for promotional purposes?

Yes
No

We  will read all client comments.

Thank you for helping us serve you better.