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Air Systems Customer Survey
Invoice #:
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Full Name:
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Address of service work:
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City:
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Zip Code:
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Email Address:
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Survey questions
Did the technician arrive on time?
Yes
No
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Were you satisfied with the work performed?
Yes
No
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Was the dispatcher courteous?
Yes
No
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Did the technician wear booties over their shoes?
Yes
No
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Do you have pets?
Yes
No
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Does anyone in your home smoke?
Yes
No
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Does anyone in your family suffer from allergies, asthma, or breathing difficulties?
Yes
No
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Do you ever suffer from a dry throat, dry skin, or experience static electricity in your home?
Yes
No
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Do cooking or other odors tend to linger in your home?
Yes
No
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Have you ever purchased or used portable (plug-in) room air cleaners or humidifiers to relieve systems of unclean air?
Yes
No
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Are there some rooms or areas in your home that are uncomfortable or that vary dramatically in temperatures? (Too hot upstairs, too cool downstairs)
Yes
No
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Has it been more than a year since you had your heating and cooling system cleaned and inspected?
Yes
No
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Do you use anti-bacterial household products like soap or cleaners?
Yes
No
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Would you recommend us to your family, friends and/or neighbors?
Yes
No
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Please list any suggestions you have to help us improve our service, or any additional comments.