Customer Survey

Please complete the form below.


Name of Company:*
Overall, how satisfied or dissatisfied are you with our company?:*
Very Satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied
If you are dissatisfied, why?:
How well do our services meet your needs?:*
Extremely well Very well Somewhat well Not so well Not at all well
If our services do not meet your needs, why?:
How would you rate the quality of the service?:*
Very high quality High quality Neither high nor low quality Low quality Very low quality
If you rated our services poorly, why?:
How would you rate the value for money of the service?:*
Excellent Above average Average Below average Poor
If you rated the value for money poorly, why?:
How responsive have we been to your questions or concerns about our services?:*
Extremely responsive Very responsive Somewhat responsive Not so responsive Not at all responsive Not applicable
If you don't think we have been responsive enough to your questions and concerns, why?:
Do you agree that our staff are friendly, professional and reliable?:*
Strongly agree Agree Somewhat agree Neither agree nor disagree Somewhat disagree Disagree Strongly disagree
If you don't think our staff are friendly, professional and reliable, why?:
How helpful has our customer representative been?:*
Extremely helpful Very helpful Somewhat helpful Not so helpful Not at all helpful
If you don't think our customer representative has been helpful, why?:
Have you had a price comparison of your consumables from Eco Clean?:*
Yes No
How likely is it that you would recommend this company to a friend or colleague?:*
Extremely likely Very likely Likely Unlikely Very unlikely Extremely unlikely
If you would not recommend our company to a friend, why?:
Do you have any other comments, questions, or concerns?: