December 10, 2015

Customer Feedback Form

Your Name (required)

Street Address (required)

Your Email (required)

Telephone Number (required)

Was a Cleaning Checklist left? (required)
YesNo

Did the team arrive on time? (required)
YesNo

Please Rate on a Scale of 1-5 (5 being the highest)

Overall Experience (required)
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Professionalism of the Cleaning Team (required)
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Cleanliness of Bathroom(s) (required)
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Cleanliness of Kitchen (required)
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Cleanliness of Floors (required)
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Detailedness of Dusting (required)
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Additional Comments or Concerns (required)