First Name: Last Name: Company Name Did cleaner/cleaning team arrive on time? Please select from listYes you were.Yes you were early.No you were late. How late did we arrive? Please select from list5 Minutes10 Minutes15 Minutes20 Minutes25 Minutes30 MinutesOver 30 Minutes If we were late which of the following applies? Please select from listWe left earlyCleaner cleaned for time quoted (made up for lost time) How would you rate the quality of our service? Please select from listSuperiorExcellentAveragePoor How satisfied are you with Atomic Klean's fees for service? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How satisfied were you with your cleaners professionalism? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied What was your cleaner/cleaning team's overall manner/attitute (curteous & respectful)? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the cleanliness of your kitchen? Please select fron listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the cleanliness of your dining area? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the cleanliness of your bathrooms? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the cleanliness of your bedroom(s)? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the quality of your cleaner(s)' dusting? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied How would you rate the quality of your cleaner(s)' vacuuming? Please select from listVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied Please rate the quality of our overall service? Please select oneVery SatisfiedSatisfiedSomewhat SatisfiedSomewhat DissatisfiedDissatisfiedVery Dissatisfied If requested were you provided with a cleaning checklist? Please select oneYesNo Do you authorize Atomic Klean to post feedback from this survey? Please select oneYesNo Do you authorize Atomic Klean to use your name (ex. C. Scott) when posting survey results? Please select oneYesNo Do you authorize Atomic Klean to use your company's name when posting survey results? Please select oneYesNo Would you use our service again? Please select oneYesNo Would you refer a friend to use our service? Please select oneYesNo Comments/Testimonials: Security code:   * Do not enter anything in this field:

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