Climatic Heating & Cooling Inc.- Caring For Your Comfort

Service Feedback Form

THANK YOU for using Climatic, we appreciate your business. Since your satisfaction is the best measure of our success, please take a moment to complete this survey. I promise to personally review your responses in order to further improve the quality and value of the services we deliver.
Thank you in advance for your assistance.

Harold R. Kemp, President, Climatic Heating & Cooling, Inc.

First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip/Postal Code:

	Yes	No
1. Was your telephone call handled promptly, professionally, and politely?
2. Was your telephone call handled in a timely manner?
3. Did the service schedule meet your requirements?
4. Did the service technician arrive on time?
5. Did your experience with Climatic exceed your expectation?
6. Would you recommend Climatic to someone you know?
If No, why?

Please Rate our Service Professional
Service Professional	Excel	Good	Fair	Poor
Courteous
Personal Appearance
Job Knowledge
Communication Skills
Professionalism
Care of Property
Truck Appearance
Overall Performance

Would you be interested in any of our other products and services?
Service Agreement	Air Conditioner	Heat Pump
Duct Cleaning	Air Cleaner	UV Lights
Humidifier	Furnace	Other
	Programmable Thermostat	UV Lights

Do you know of someone who may be interested in our products or services?

Name:
Phone:
Name:
Phone:

May we use you as a reference?	Yes	No

Do you have any suggestions on how we may better serve your needs?


Would you like to receive correspondence in the future via email?	Yes	No

Email Address: