Evaluation Form

Submitted by pilas on Sun, 05/10/2009 - 16:10

Thank you for choosing PILAS for your housekeeping needs. Please take a few minutes to fill out the following evaluation so that we can serve you better.

Gracias por habernos escogido. Favor de tomar unos minutos para llenar esta evaluación para que le sirviéramos mejor.

Your Name (nombre del/la empleador(a)): *

Email Address:

Date (fecha): *

Worker’s name (nombre de la empleada): *

Did the worker arrive on time? (¿Llegó la empleada a tiempo?): *

Yes

Work Quality: *

5 - Excellent

4 - Good

3 - Fair

2 - Poor

1 - Unacceptable

On a scale of 1 to 5, please evaluate the quality of the work done. (Favor de evaluar la calidad del trabajo en una escala de 1 al 5.)

Work Quality Comments:

Please write any additional comments about the quality of the work. (Favor de anotar comentarios adicionales sobre el trabajo cumplido.)

Would you hire this person to work for you again? (¿Contrataría a esta persona de nuevo?): *

Yes

Quality of Contact: *

5 - Excellent

4 - Good

3 - Fair

2 - Poor

1 - Unacceptable

On a scale of 1 to 5, please rate the quality of contact with our organization (Favor de evaluar la calidad del contacto que ha tenido con nuestra organización.)

Would you recommend this organization to a friend? (¿Recomendaría a esta organización a un amigo?): *

Yes

Additional Comments::

Please write any additional comments or suggestions about our service. (Favor de anotar comentarios adicionales o sugerencias sobre nuestra servicio.)

P.O. Box 50752
Palo Alto, CA 94303

Tel: (650) 331-1955
Email: info@pilashousekeeping.org

PILAS is a non-profit 501(c)(3) charity organization