Quality Assurance and Customer Contact Worksheet (Job Site) Instructions for Use: Fill in the contact fields with current job site and superintendent information. Complete the questionnaire during the follow-up call. Use “Notes” and comment sections for additional details (e.g., preferred contact method, job site-specific instructions). Complete a new worksheet for each job site. Customer Contact InformationCustomer ID:(Required)Job Site Name:(Required)Superintendent Name(Required) First Last Superintendent Phone Number(Required)Superintendent Email(Required) Job Site Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Last Service Date MM slash DD slash YYYY NotesQuality Assurance QuestionnaireService QualityHow satisfied were you with the technician's professionalism? (1-5, 1=poor, 5=excellent 1 2 3 4 5 CommentsDid the technician arrive on time and prepared? Yes No CommentsWas the service completed to your satisfaction? Yes No CommentsWas the technician courteous and respectful? Yes No CommentsHow clear was the explanation of the service performed? (1-5, 1=poor, 5=excellent) 1 2 3 4 5 CommentsWere follow-up instructions provided? Yes No CommentsConsistency of ServicesWas the service consistent with previous experiences? Yes No CommentsDid the technician follow the expected procedures? Yes No CommentsOffice CommunicationHow would you rate the communication with our office staff? (1-5, 1=poor, 5=excellent) 1 2 3 4 5 CommentsWas it easy to schedule the service? Yes No CommentsHow responsive was the office to inquiries? (1-5, 1=poor, 5=excellent) 1 2 3 4 5 CommentsInvoicingAre your bills correct and clear? Yes No CommentsWas the invoicing process timely? Yes No CommentsRecommendations or ConcernsWould you recommend our services to others? Yes No CommentsAny concerns or suggestions for improvement?
