Report Card

Happy with us? Trust us? Like something we did or didn't do?

Why not tell us? Good or bad, we want to hear from you. Here's your chance to be a teacher and hand out a report card!

We strive, every day, to do our best. We want to see that your needs are met. Please let us know how we're doing. We'd love to know who you are but, if you'd prefer to remain anonymous, that's okay too. The important thing is that we have the opportunity to make you happy.

Are you happy with us?

Yes No

Please provide details:

Did we do something that you especially liked or disliked?

Yes No

Please provide details:

Will you refer other people to us?

Yes No

Please provide details, including the names and phone numbers of any referrals:

Feel free to provide any additional comments about your relationship with us:

Are you a current or past client?

Yes No

If not a client or past client, what is/was your relationship with us?

Please provide details:

May we use your comments in a testimonial - either on our web site or in writing?

Yes No

Do you want us to respond to you?

Yes No

Name:

E-mail address or other contact information:

Please provide details:

Copyright © 2005, 2006 Linda M. Faulkner, CIC. All rights reserved. Revised: 09/06/07.

Copyright © 2005, 2006 Linda M. Faulkner, CIC. All rights reserved.
Revised: 09/06/07.