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.

Your Name: *

Email Address:

Date : *

Worker’s name: *

Did the worker arrive on time? : *

Yes

No

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.

Work Quality Comments:

Please write any additional comments about the quality of the work.

Would you hire this person to work for you again? : *

Yes

No

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.

Would you recommend this organization to a friend? : *

Yes

No

Additional Comments::

Please write any additional comments or suggestions about our service.

P.O. Box 52014
Palo Alto, CA 94303

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

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