Preventative Maintenance

Hello,
You are being invited to tell us how your preventative maintenance service went. Please take a few moments and complete this survey. We appreciate you and want to continually improve our service for customers. Thank you for your honest feedback. Be sure to supply us with the mailing address where you would like us to send your gift card.

Sincerely,
The Service Team

* First Name :

* Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Email Address :

* Who helped you to set up your preventative maintenance?

* How satisfied are you in working with Block Imaging?

Very Satisfied

Moderately Satisfied

Satisfied with a Few Concerns

Very Little Satisfaction

I Can't Get No Satisfaction

* Please list the reason/s why you rated your satisfaction level the way you did:

* Please rate your satisfaction with the professionalism, courtesy and punctuality of the field service engineer who serviced your imaging equipment.

Very Satisfied

Moderately Satisfied

Satisfied With A Few Concerns

Very Little Satisfaction

I Can't Get No Satisfaction

* Please let us know what you liked or disliked most about your experience with our engineer:

* Was the service completed within the time your Block Imaging customer service representative allotted for the PM?

Yes

No

If you answered no please tell us why?

* How likely are you to refer Block Imaging to a colleague?

Very Likely to Refer

Probably Likely to Refer

Needs Improvement and May Refer

Probably Will Not Be My First Referral

Never

Please tell us in what ways we can improve our service:

* What gift card would you prefer for your time?

Starbucks

Subway

None