Contact Information

Required fields are bold. This information will only be used to respond to your feedback. E/One will not use this information for any other purpose.

Name

Address

City

State/Province (abbreviation) ZIP/Postal Code Country

Daytime Phone Number

E-Mail

Preferred method of contact:
Phone
E-Mail

Service Technician

Service Organization Choose One Commonwealth Engineering & Sales Correct Equipment Craun-Liebing Company Delco Western DuBois-Cooper Associates Eco-Tech/Tech Equipment Electric Pump Engineered Systems Environment One Environmental Improvements (EI2) Flo-Systems Fluid & Thermal Systems FR Mahony & Associates Freemire & Associates Goble-Sampson Associates Haynes Equipment Company ITT Flygt JH Wright & Associates Jack Tyler Engineering of AR James Cooke & Hobson John Brooks Company LTD Liquid Handling Systems Northern Water Works NW Pump Quadna Sansom Equipment Shape Inc Siewert Equipment Co. Site Specific Design Trombold Equipment Co. Wascon Water Resource Technologies

Other (if not listed above)

Date of Service (mm/dd/yyyy)

Please rate your service experience

1. Was the technician courteous?

1 Not courteous; rude
2 Somewhat courteous
3 Nice
4 Approachable

2. Was the technician clean and presentable?

1 Disheveled appearance
2 Below average
3 Clean and neat
4 Immaculate

3. How was the site condition when the technician left?

1 Very messy; extensive cleanup required
2 Minor cleanup necessary
3 No cleanup necessary, but site was damaged
4 Site was left the way the technician found it

4. Did the technician have all of the parts and tools needed?

0 Don't know
1 No spare parts/pump
2 Spare pump only
3 Some parts and a pump
4 All parts and a pump

5. Was the repair fully explained?

0 Problem not solved
1 Solved, no explanation
2 Solved; short, unclear explanation
3 Solved; brief, clear explanation
4 Solved; explained until I understood

6. Was the technician on time?

1 Very late (more than 30 min.)
2 A few minutes late (10-30 min.)
3 Very early (more than 30 min.)
4 On time (within 10 min.)

7. How long was the technician on site?

0 Don't know
1 Much longer than necessary
2 A little longer than necessary
3 About what I'd expect
4 Very fast and efficient with his/my time

8. Please rate your overall experience on a scale from 1 to 10, where 1 is "poor" and 10 is "excellent"

9. Comments