Salutation:
Ms.
Mrs.
Mr.
Name:
E-mail:
Date of Service:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
How would you rate the quality and value of the services or repairs completed?
Exellent
Average
Fair
Poor
How would you rate the Communication of the service and repairs needed?
Exellent
Average
Fair
Poor
Were our staff members courteous,efficient,and knowledgeable?
Yes
No
Do you feel that you have full understanding of the service, and repairs needed?
Yes
No
Please provide additional comments with name and/or Repair Order number: .
How would you rate your interaction with your service advisor?
Exellent
Average
Fair
Poor
Please provide us with your views reguarding our quality and workmanship:
Do you feel that you received value for your services?
Yes
No
How did you first learn about Cannon's Automotive?
Friend
Mail
Internet
Business Referral
Radio/TV
Yellow Pages
Coupon Book
Newspaper
Location
Did you know that Cannon's Automotive offers 90 Days Same As Cash?
Yes
No
Would you like to be notified by telephone for future services/repairs from your service consultant?
Yes
No
Did you know Cannon's Automotive is a Family owned and operated repair facility since 1971?
Yes
No
Thank you for taking the time to help us improve the services Cannon's Automotive offers!
We look forward to serving you soon!