If you have time, please complete this survey by filling out the blank fields on the form below, and clicking SUBMIT when finished:


Your name and phone number:
Name: Phone Number:


Service(s) needing improvement:


Service(s) providing satisfaction:


Could we use you as a referral?
YES / NO


Names of people needing cleaning services:
Name: Phone Number:
Name: Phone Number:
Name: Phone Number:

Additional services desired (ie. hard surface, duct, drapery, blind, etc.):


Who will you keep calling for the next 25 years?


Other comments?


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