Home > About Us > Customer FeedBack Form

Customer FeedBack Form

Name:
Address:
Email Address:
Did we perform a repair or installation in your home?  Installation Repair
When you contacted our office, were you treated courteously and professionally?  Excellent Job Good Job Satisfactory Job Poor Job
Did we arrive to your home as promised each time we met with you?  Excellent Job Good Job Satisfactory Job Poor Job
Was our Comfort Consultant(s) courteous and professional?  Excellent Job Good Job Satisfactory Job Poor Job
Was our Comfort Consultant(s) respectful of your home and property?  Excellent Job Good Job Satisfactory Job Poor Job
Do you feel as though a sufficient explanation of the problem with your system was provided?  Excellent Job Good Job Satisfactory Job Poor Job
Were you provided adequate options in terms of the resolution to your comfort problem?  Excellent Job Good Job Satisfactory Job Poor Job
Did we offer information about our Indoor Air Quality products (humidifiers, air cleaners, etc.)  Excellent Job Good Job Satisfactory Job Poor Job
If we installed new equipment in your home, do you feel it was done professionally and appears neat?  Excellent Job Good Job Satisfactory Job Poor Job
Did our comfort consultant(s) adequately clean up after the job was completed?  Excellent Job Good Job Satisfactory Job Poor Job
Do you feel as though your original comfort problem was resolved?  Excellent Job Good Job Satisfactory Job Poor Job
Did we meet your overall expectations?  Excellent Job Good Job Satisfactory Job Poor Job
Overall, how "comfortable" was this experience for you?  Excellent Job Good Job Satisfactory Job Poor Job
How do we compare to our competitors you may have dealt with?  Excellent Job Good Job Satisfactory Job Poor Job
How did you hear about us? (Please fill in all that apply)

If a referral, who referred you?
What were the factors that led to your decision to allow Gaithersburg A/C & Heating to perform your service/installation?
Do you know of any of your neighbors, friends or family in the area that may be interested in improving the comfort in their home?
Name:
Phone:
Address:
Please let us know of any additional comments or suggestions you may have regarding our service
Would you be interested in receiving information regarding our Whole House Comfort Check-up where we would help determine potential leakage areas of your home that may impact your overall comfort and your home’s efficiency?  Yes Please No Thank You
May we use your name as a reference?  Yes No
Security Question 4+4=?