Custodial Services Customer Satisfaction Survey
Please complete the form below. It is our goal to serve you.
Buildings/Location:**		Area:**
You can give either a Building/Location or an Area.**

Classrooms:	Select a Rating Poor Fair Good Excellent	Pest Control:	Select a Rating Poor Fair Good Excellent
Restrooms:	Select a Rating Poor Fair Good Excellent	Venetian Blind:	Select a Rating Poor Fair Good Excellent
Entrances:	Select a Rating Poor Fair Good Excellent	Hallways:	Select a Rating Poor Fair Good Excellent
Stairways:	Select a Rating Poor Fair Good Excellent	Offices:	Select a Rating Poor Fair Good Excellent
Other:	Select a Rating Poor Fair Good Excellent

Courtesy & Cooperation:	Select a Rating Poor Fair Good Excellent
Timeliness of Response:	Select a Rating Poor Fair Good Excellent
Efficiency in doing Work:	Select a Rating Poor Fair Good Excellent
Consideration/Flexibility in doing Work:	Select a Rating Poor Fair Good Excellent
Custodians Pride in their Work:	Select a Rating Poor Fair Good Excellent
Follows Up:	Select a Rating Poor Fair Good Excellent
Overall Quality of Work:	Select a Rating Poor Fair Good Excellent

Does the custodian deserve recognition for a job well done?

Select Yes No

If yes, then give a reason why.

Does he or she need improving?

Select Yes No

If yes, then give a reason why.

Custodian(s) Name:

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Could we contact you for further questions?

Select Yes No

Your Name:
E-mail:
Phone: