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Win a FREE Clean!
Required Required Question(s)
Required 1.

Please enter the information indicated below to be entered into raffle to win a FREE clean.
First Name:
Last Name:
Email Address:
emailaddress@xyz.com

Required 2.

How long have you used our cleaning services?
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
Required 3.

How frequently do you get your house cleaned?
Every week
Every 2 weeks
Every 4 weeks
Once or twice a year
Required 4.

How would you rate your level of satisfaction with us?
Highly satisfied
Satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
Required 5.

How do we rate on the following attributes?
 Well Below Average Below Average Average Above Average Well Above Average 
Customer service
Reliability
Quality of the clean
Value for Dollar
  • Comment:

  • 500 characters left.
Required 6.

How likely is it that you would recommend our services to a friend or colleague?  If your answer is "Somewhat Unlikely" or "Very Unlikely," please provide an explanation below.
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
  • Comment:

  • 500 characters left.
7.

Do you have any suggestions for improving our services
 

  • 350 characters left.