Building and Room Number where work was performed
Employee
Work Order # (optional)

1. Was the work completed to your satisfaction? Yes No
2. Was the work completed in a timely manner? Yes No
3. Overall Workmanship: Superior Good Fair Poor
4. Response Time: Superior Good Fair Poor
5. Clean-Up of Job Site: Superior Good Fair Poor
6. Communication: Superior Good Fair Poor
7. Courtesy of Employee: Superior Good Fair Poor

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