Customer Satisfaction Survey

Thank you for taking the time to let us know how we are doing. Please complete the parts of the following form that are relevant. The fields for your name and job address and city are required. Then when you are ready press the SEND button.

Just a friendly reminder about our referral program - We will pay you $100.00 in cash for every friend, relative, or neighbor you refer who has "Doc" Dancer, Inc. install a new furnace and/or air conditioner. (Cannot be combined with any other offer or discount.) That's EASY MONEY!

Contact Information
Name *
Job Address *
Job City */State/Zip Code   
Phone Number *
Email Address *
Survey Questions
Were you satisfied with all aspects of the service or installation?
If not, how could we have made the experience better?
Did we arrive on the job within the time frame you were expecting?
If no, did we call to explain the change in arrival time?
For installations, did the technician explain how to properly operate and maintain your equipment?
For installations, did you receive the owner's manual?
Did our service technicians/installers leave your home in the same or better condition as when they arrived?
If no, in what area could we improve?
Please share any additional comments you may have
Security Question:
What year was Doc Dancer founded?
Hint: 1946		 *