FEEDBACK FORM

CLIENT FEEDBACK FORM

Residential and commercial clients of Clean House Cincinnati are invited to fill out this feedback for after any cleaning!

CLIENT(Required)

NAME DATE OF LAST SERVICE

BEST WAY TO REACH YOU REGARDING THIS FORM (Email, phone, text)

GENERAL COMMENT, SUGGESTION, OR QUESTION:

DETAILED FEEDBACK

The following are optional questions regarding the quality and consistency of our cleanings. You may answer all, some, or none and we appreciate any feedback given!

BATHROOMS are completely spotless

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

KITCHEN is completely spotless

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

SURFACES are thoroughly dusted/wiped (ie tables, counters, shelves)

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

FIXTURES are thoroughly dusted/wiped (ie ceiling fans, lights on walls/ceiling, lamps, light switches)

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

WOODWORK & TRIM are thoroughly dusted/spot wiped (ie baseboards, doors and windows and their molding, door knobs, window sills,)

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

FLOORS are throughly vacuumed/mopped

Rate 1 (strongly disagree) to 5 (strongly agree) and give details/comments if you wish

THINGS WE DO GREAT:

AREAS WE NEED TO IMPROVE:

IF WE WERE TO IMPROVE ALL ITEMS YOU FEEL NEED IT, WOULD YOU BE WILLING TO LEAVE US A REVIEW AND/OR TIP YOUR CLEANER? (Please answer yes, no, maybe and any thoughts about what we can do to earn a good review and tip!)

Thank you for your feedback! Feel free to call/text the office with any questions at 513-808-7299.

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