Customer Evaluation Form

 

Name(required)

Date of Service(required)

Cleaner Name(required)

Vacuuming(required) Excellent

Good

Average

Needs Improvement

Dusting/Polishing(required) Excellent

Good

Average

Needs Improvement

Bathrooms Excellent

Good

Average

Needs Improvement

Floors Excellent

Good

Average

Needs Improvement

Kitchen Excellent

Good

Average

Needs Improvement

Comments or Concerns

Submit