Car Wash Survey
Please rate how satisfied you are with each of the followings.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
N/A
Service Quality
1
2
3
4
5
Quality of Car Wash
6
7
8
9
10
Employee Responsiveness
11
12
13
14
15
Employee Friendliness
16
17
18
19
20
Price
21
22
23
24
25
Overall, How satisfied are you with the service you received?
1
2
3
4
5
Vehicle you use
Family car
Small car
4x4
Van
Other
Your Gender
Female
Male
Not want to specify
Other
Your Gender
Under 18
18-25
26 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older
Not want to specify
How often do you use our service?
Once a fortnight
Once a month
Once every 3 months
First time
Other
Additional Comments?
Name (Optional)
First Name
Last Name
Email (Optional)
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Please verify that you are human
*
Submit
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