Customer Information

Your Name:

Phone#:

Work Order#:

E-mail Address:

Vehicle Information

VehicleYear:

Date of Service:

VehicleModel:

VehicleMake:

Please check Yes or No to the following:

Yes            No

1) Was the Service Staff willing to undertand your situation?

2) Did Service Staff explain the diagnosis and needed repairs?

3) Was the Vehicle returned to you free of grease (clean)?

4) Were the repairs completed on time or when promised?

5) Was our Service Facility clean?

6) Was the work/repairs performed satisfactory?

7) Is the Vehicle currently working as expected?

8) Are you likely to return to our facility?

9) If you are dissatisfied with the work or service performed on your vehicle, would you like a return call from the Service Manager to discuss your situation?

Other Comments:

Other Comments: