Gear Cleaning Solutions :. GCS
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Electronic Survey
Customer Feedback Survey
Thank you for taking time to complete the following.


Customer Information

Please complete the following:
Department Name:
Date

MM
/
DD
/
YYYY
Referred by:
Name:

First

Last
Title:

Survey Guidelines

Please provide feedback to the following questions, as we are constantly searching for ways to consistently meet your requirements.

Customer Service

Please rate the following:
Was the driver courteous and attentive?
 Fair 
 Good 
 Excellent 
 N/A 
Employee Knowledge, were questions answered to
your satisfaction?
 Fair 
 Good 
 Excellent 
 N/A 
Are we responsive to your questions with company
knowledge and solutions?
 Fair 
 Good 
 Excellent 
 N/A 
Was your order shipped with a reasonable
turnaround time?
 Fair 
 Good 
 Excellent 
 N/A 
Were you informed at all times with any issues or
concerns?
 Fair 
 Good 
 Excellent 
 N/A 
Were your questions answered over the phone or
email to your satisfaction, and in a timely
manner?
 Fair 
 Good 
 Excellent 
 N/A 
WERE THERE ANY CUSTOMER SERVICE ISSUES?
 Yes 
 No 
If yes, please provide details in the comment box
at the end of this form.

Work Performance

Please rate the following:
Did the quality of work provided, meet your
expectations?
 Fair 
 Good 
 Excellent 
 N/A 
Did our shipping department package the gear so
that it arrived in good condition?
 Fair 
 Good 
 Excellent 
 N/A 
Did our cleaning process meet your expectations?
 Fair 
 Good 
 Excellent 
 N/A 
Was the quality of work consistent?
 Fair 
 Good 
 Excellent 
 N/A 
WERE THERE ANY WORK PERFORMANCE ISSUES?
 Yes 
 No 
If yes, please provide details in the comment box
at the end of this form.

Customer Value

Please rate the following:
Were repairs done based on your estimate and
request?
 Yes 
 No 
 N/A 
Do you feel that our services make it easier for
you to maintain compliance with NFPA 1851?
 Yes 
 No 
 N/A 
Did we meet your requirements as a valuable
customer, as well as firefighter?
 Yes 
 No 
 N/A 
Will you continue doing business with GCS?
 Yes 
 No 
 N/A 
Will you recommend GCS to other departments?
 Yes 
 No 
 N/A 
Comments or Suggestions:
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