Pro-Tech Auto Glass Now

AT PRO-TECH AUTO GLASS WE STRIVE TO PROVIDE SUPERIOR CUSTOMER SERVICE. YOUR INPUT FOR THE SERVICE YOU HAVE EXPERIENCED IS GREATLY APPRECIATED ON THE FOLLOWING CATEGORIES: REPLACEMENT, REPAIR, ESTIMATES, WEBSITE, OR ANY OTHER SERVICE. PLEASE TAKE A MOMENT TO COMPLETE OUR SURVERY.

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Customer Name:*
Invoice #:*
Telephone #:

How would you rate your overall experience?

1 = Poor
2 = Average
3 = Excellent

	CUSTOMER SERVICE REPRESENTATIVES
	Timely Answering of phone or emails
	Timely answer to your questions
	Courtesy
	Knowledge Level
	Overall

	"THE PRO-TECH-TORS" (Our Technicians)
	Professionalism
	Courtesy
	Appearance
	Knowledge Level
	Answering of any questions or concerns
	Cleanliness of Jobsite
	Satisfaction Level with work performed
	Overall

	FACILITIES (Our Auto Glass Now Location)
	Location
	Signage
	Cleanliness
	Comfort
	Amenities (WiFi Access, Refreshments, Etc.)
	Additional Services (Aquapel, Wipers, Etc.)
	Overall

	WEBSITE
	Appearance
	Information Level
	Understandability

	HOW DID YOU FIND US?
	Dealer Referall
	Personal Referall
	Insurance Company Referall
	Yellow Pages Book
	Yellow Pages Internet
	Christian Directory
	Billboard
	Newspaper Ad
	T.V. Ad
	Drive By
	Radio
	Website
	Other

	TELL US ABOUT YOURSELF:
	Age:
	18-29
	30-44
	45-59
	60-up

	Gender:
	Female
	Male

	Do you regularly use the internet to research or purchase good and services?
	Yes
	No

WHAT WAS YOUR PRIMARY REASON FOR CHOOSING PRO-TECH AUTO GLASS?
Recommendation	Safety Concern
Convenience	Price
Location	Past Experience
Timeliness of Service	Advertisement
Other

ADDITIONAL COMMENTS OR CONCERNS: