Cleaning Services Customer Satisfaction Form

Customer Information

Please provide your contact details for us to effectively address any concerns or follow-up on your cleaning service experience. Your information will remain confidential.

Customer Name:
Address:
Phone Number:
Email Address:

Service Details

Kindly specify the type of service received and the date it was performed. This ensures accurate tracking and prompt resolution of any issues reported.

Type of Service:	Residential Commercial Deep Cleaning Other:
Date of Service:
Cleaning Crew:

Feedback/Issue

Share your feedback or report any issues encountered during the cleaning service. Be specific to help us understand and address your concerns effectively.

Resolution

Describe the action taken by our team to resolve your reported issue. Include the date to document the timeline of resolution for quality assurance purposes.

Action Taken

Resolution Date: [Date]

Follow-Up

Indicate any follow-up actions required from our end to ensure your complete satisfaction. Provide details for seamless communication and resolution.

Customer Satisfaction

Rate your overall satisfaction with the cleaning service on a scale of 1 to 5 and provide any additional comments to help us further improve our services.

Signature

I, [Customer Name], hereby acknowledge that the information provided in this form is accurate to the best of my knowledge. By signing below, I authorize [Your Company Name] to take necessary actions to address the reported issue(s) and follow up accordingly.

[Customer Name]

[Date]

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