Pleasing customers is our top priority. We find the best way to improve our already excellent service is by hearing from you. We appreciate your cooperation.

* Customer Name:
* Customer E-mail:
* Street Address:
* City, State, Zip:	,   ,
* House Cleaner Name:
* Service Date:

Please rate the following:	Excellent				Poor
1. Courtesy/Professionalism	5	4	3	2	1
2. Living Areas	5	4	3	2	1
3. Kitchen	5	4	3	2	1
4. Bathrooms	5	4	3	2	1
5. Bedrooms	5	4	3	2	1
6. Overall Cleaning Quality	5	4	3	2	1
7. Contact With Office	5	4	3	2	1

We welcome your comments and compliments:
We would like to follow up with customers via telephone. If you would like us to contact you, please provide us with a daytime phone number:

   

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