Customer Satisfaction Form

Title

Initials

Surname

Address

Postcode

Telephone Number

Fax Number

E-Mail Address

Preferred Method of Contact

Account Number (if known)

Please rate us on the following (5=Excellent, 1=Poor)

Helpfulness when placing your order

Handling of Queries

Timeliness of Deliveries

Courtesy of Driver

Cleanliness of Delivery

Overall Opinion of our Service

Will you place your next order with us?

Yes
No

Are you Aware of Our Automatic Delivery Service?

Yes
No

Would you Like Further Information

Yes
No

Are you Aware of our Budget Payment Scheme?

Yes
No

Would you Like Further Information?

Yes
No

Are you Aware of our Other Services?

Boiler Installation
Boiler Maintenance
Boiler Insurance
Tank Installation

Would you Like Further Information About;

Boiler Installation
Boiler Maintenance
Boiler Insurance
Tank Installation

How did you hear about our Website?

Did you Enjoy Browing our Site ?

Yes
No

Did you Find our Site Easy to Navigate?

Yes
No

If any, What Changes would you make to our website?

Would you like to receive further information about special offers in the future?

Yes
No

Any other comments?