Your Name:
Your E-Mail:
Name of House Cleaner:
Service Date:
Please rate the following:
Excellent
Poor
1. Courtesy/Professionalism
5
4
3
2
1
2. Living Areas
5
4
3
2
1
3. Kitchen
5
4
3
2
1
4. Bathrooms
5
4
3
2
1
5. Bedrooms
5
4
3
2
1
6. Overall Cleaning Quality
5
4
3
2
1
7. Contact With Office
5
4
3
2
1
We welcome your comments and compliments:
We would like to follow up with customers via telephone. If you'd like us to contact you, please provide a daytime phone number:
Copyright © 2007 Lily Maid House Cleaning Service. Site Design & Development:
Baker Concepts
.
