Reliable Auto Glass: California Windshield Replacement Customer Feedback

Reliable Auto Glass Customer Feedback Form

As the owner of Reliable Auto Glass, I would like to personally thank you for choosing us to help you with your auto glass needs. It is our goal to be the best! Your opinion matters to us. Please take a moment to fill out this online questionnaire and you will automatically be entered into our monthly drawing to win a dinner for two.

Thank you,
John Gimroth, Owner - Reliable Auto Glass

Please provide us with:

Your Name:
Order / Invoice Number:
Phone Number:
Email Address:


Customer Service Representative:

In evaluating your most recent experience with Reliable Auto Glass, was the service you received:
	Very Poor Somewhat Satisfactory About Average Very Satisfactory Superior

The customer service representative was very courteous.
	Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree

The customer sales representative handled my call quickly.
	Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree

The customer service representative was very knowledgeable.
	Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree

Service Technician:

The service technician was very knowledgeable.
	Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree

The technician arrived within the hours quoted to you by the customer service representative.
	Yes No with no phone call No with a phone call

Was the job performed in a clean and orderly manner?
	Yes No



If no, please explain:


Did the technician leave you with a receipt and instructions?
	Yes No

Would you use Reliable Auto Glass again for your auto glass needs?
	Yes No


If no, please explain:



Additional Comments:




Thank you for your feedback. We at Reliable Auto Glass sincerely appreciate your honest opinion and will take your comments into consideration while providing auto glass service in the future.