Thank you for your valued business. Please rate our services to your company.		Date:
		Account Number:
		Account Name:
		Survey completed by:

SERVICE TEAM	Very Good	Adequate	Needs Improvement
Route Service Representative
Demonstrates Job Knowledge
Responds to Requests
Introduces Additional Services
Suggestions/Comments

SERVICE AND PRODUCT QUALITY	Very Good	Adequate	Needs Improvement
Quality of Merchandise and Replacements
Sufficient Inventory
Repairs and Size Changes Made Promptly
Suggestions/Comments

OVERALL VIEW OF SERVICE	Yes	No
Would you recommend Saniserv to others
Would you renew your Service Agreement
What do you like about Saniserv

CUSTOMER FILE UPDATE
Our Contact Person at your Account
Contact Phone Number	-
Fax Number	-
E-mail Address

CURRENT SERVICES				SERVICE NEEDS
Floor Pad Recycling				Equipment Repair
Mats				Pad Pole
Toweling				Bags
Mops				Bag Stands
Linens
Paper
Air Freshener
Hand Cleaner

COMMITMENT TO CUSTOMER SATISFACTION: Our objective is to exceed our customer's expectations by providing the BEST OVERALL SERVICE available today.

Thank You For Your Response!