Maitz Home Services

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Customer Information

First Name

Last Name

Address

City

State

Phone

Email *

Date of Service


Customer Service Representative & Office Staff


Office Staff Professionalism *	Excellent Good Fair Poor

Office Staff Courteousness *	Excellent Good Fair Poor

Office Staff Helpfulness *	Excellent Good Fair Poor

Office Staff Cheerfulness *	Excellent Good Fair Poor


Technician & Technician's Assistant (if Applicable)


Technician Professionalism *	Excellent Good Fair Poor

Technician Appearance *	Excellent Good Fair Poor

Technician Quality of Work *	Excellent Good Fair Poor

Technician Cleanliness *	Excellent Good Fair Poor


Other Information


Were you contacted by the Customer Service Representative prior to the Technician's arrival? *	Yes No

Did the Technician arrive within the scheduled time block? *	Yes No

Did we keep you informed of the status of the Technician?	Yes No	Please answer if the Technician did not arrive in the scheduled time block.

Were you given a complete explanation of the work, the options (if any) and price upfront before beginning the job? *	Yes No

Do you feel you were given a fair value for the service provided? *	Yes No

Would you recommend us to your friends and family? *	Yes No

Please include your compliments, comments or suggestions:

Maitz Home Services Serves the Counties of: Lehigh, Northampton, Berks, Monroe,
Upper Bucks, and Upper Montgomery and the following cities.