Customer Information
Name
*required
Address
*required
Email Address
Did we perform a repair or installation in your home?
Repair
Installation
Excellent Job
Good Job
Satisfactory Job
Poor Job
When you contacted our office, were you treated courteously and professionally?
Did we arrive to your home as promised each time we met with you?
Was our Comfort Consultant(s) courteous and professional?
Was our Comfort Consultant(s) respectful of your home and property?
Do you feel as though a sufficient explanation of the problem with your system was provided?
Were you provided adequate options in terms of the resolution to your comfort problem?
Did we offer information about our Indoor Air Quality products (humidifiers, air cleaners, etc.)
If we installed new equipment in your home, do you feel it was done professionally and appears neat?
Did our comfort consultant(s) adequately clean up after the job was completed?
Do you feel as though your original comfort problem was resolved?
Did we meet your overall expectations?
Overall, how "comfortable" was this experience for you?
How do we compare to our competitors you may have dealt with?
How did you hear about us? (Please fill in all that apply)
Referral
Who referred you to us?
Advertisement
Mail or Newspaper/
Which one?
Telephone book
Which one?
Web
Which search engine?
Other
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
Address
Phone number
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 homes efficiency?
Yes
No
May we use your name as a reference?
Yes
No