Buckeye Plumbing

Customer Survey

*Fields with an asterisk are required.

Full Name *		Enter your Full Name:

Address *

Address2

City *

Phone *		Phone Number

Email Address *		Enter your Email:

Date Of Service

Service Technician

How did you hear about us?

Phone Personnel	Pleased Not Pleased

Technician	Pleased Not Pleased

Speed of Service	Pleased Not Pleased

Cleanliness of Work Area	Pleased Not Pleased

Quality of Service	Pleased Not Pleased

Value of Price	Pleased Not Pleased

Questions, Comments, Suggestions:

Will you use Buckeye again?	Yes No