Name (First & Last):         

Job Information

Date Project Began:  

Name of Subdivision:

Address:         

City:               State:       Zip Code:  

Name of Technician:   Select One Aaron Raul Paul Do Not Recall

Please answer the following questions:

1 being the lowest and 5 being an Exceptional Experience

The Technician arrived on time

1 2 3 45

The Technician was courteous and easy to work with

1 2 3 4 5

Did the Technician leave (please select all that apply)

Magnet  Business Card  Sticker On Pole  Nothing

The job was completed to my satisfaction

1 2 3 4 5

The job was reasonably priced

1 23 4 5

How would you rate our overall performance?

1 2 3 4 5

How was your office communication experience?

1 2 3 4 5

I would use E&E Electrical Contractors, Inc. again & recommend them to a friend

1 23 4 5

Please provide any additional information below