Electrical Contractors, Inc.

Date Site

Your Name E-mail

Company Phone

Please answer the following questions:

Did you receive the equipment as proposed to you? Yes No

Was the installation completed to your satisfaction? Yes No

Did we complete the installation in a timely manner? Yes No

Please rate our service in the following areas:

Courtesy of our technician(s): Please select Excellent Above Avg Good Below Avg Poor

Quality of work performed: Please select Excellent Above Avg Good Below Avg Poor

Overall Service experience:

Job completed as requested? Yes No

Was a return call necessary? Yes No

Was a return call scheduled? Yes No

Would you recommend ECI to others? Yes No

If "no", why not?

Please tell us why here... Other comments or suggestions:

Additional comments...

May we display your testimonials on our website? Yes No