Dealership Maintenance Service Feedback Poll
Please share your feedback about your recent maintenance service experience at our dealership.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Service Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vehicle Information (Make, Model, Year)
*
Which maintenance service(s) did you receive?
*
Oil Change
Tire Rotation
Brake Service
Battery Replacement
Engine Diagnostics
Other
Please rate the following aspects of your service experience:
*
Rows
Poor
Fair
Good
Very Good
Excellent
Ease of scheduling appointment
1
2
3
4
5
Timeliness of service
6
7
8
9
10
Professionalism of staff
11
12
13
14
15
Quality of repair/maintenance
16
17
18
19
20
Cleanliness of facility
21
22
23
24
25
Communication during service
26
27
28
29
30
Overall, how satisfied are you with your maintenance service experience?
*
1
2
3
4
5
How likely are you to recommend our dealership's maintenance service to others?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
What did you like most about your experience?
How can we improve our maintenance service?
May we contact you for further feedback or to address your concerns?
*
Yes
No
Submit Feedback
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