FEEDBACK FORM "*" indicates required fields Business Name Name* First Last Email Address Phone Number Relationship with us* Past Customer Current Customer Member of the Public Supplier What kind of feedback are you leaving today?* Positive feedback Negative feedback Complaint regarding behaviour Complaint regarding quality of work Are you satisfied with our services overall?* Not applicable 5 (exceeded my expectations) 4 (met my expectations) 3 (ok but could be better) 2 (did not meet my expectations) 1 (is not what I wanted at all) Safety Rating* Not applicable 5 (exceeded my expectations) 4 (met my expectations) 3 (ok but could be better) 2 (did not meet my expectations) 1 (is not what I wanted at all) Quality Rating Not applicable 5 (exceeded my expectations) 4 (met my expectations) 3 (ok but could be better) 2 (did not meet my expectations) 1 (is not what I wanted at all) Environmental Rating Not applicable 5 (exceeded my expectations) 4 (met my expectations) 3 (ok but could be better) 2 (did not meet my expectations) 1 (is not what I wanted at all) How cost effective are our services?* 5 (high level service at low cost) 4 (high level service at acceptable cost) 3 (high level service at higher than average cost of others) 2 (high level service but prices are high) 1 (well over priced) Not applicable Photos (if applicable) Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, doc, docx, Max. file size: 32 MB, Max. files: 10. How likely would you be to refer us to others?* 5 (highly likely) 4 (likely) 3 (possible) 2 (not likely) 1 (definitely not) Any futher comments?CAPTCHA CONTACT SAM CLIFFORD Phone: 0459 558 223 Email: Click to show email
