Customer Feedback Form

Customer Feedback Form

STERILMATTRESS appreciates customers who provide feedback and/or testimonials.

To continually improve upon our services and for the benefit of our customers, both current and future, STERILMATTRESS offers future discounts via the Customer Loyalty Program. To qualify, simply complete the extremely easy "customer feedback form" below.

Name *
E-mail Address *
Was the technician on time for the appointment?	Yes No
Was the technician appropriately attired, including wearing shoe/boot covers?	Yes No
Upon arrival, did the technician inform you of our "Specials" available to you?	Yes No
Did the technician fully discuss with you the "scope of work" to be performed?	Yes No
Did the technician suggest that you observe the 3-step cleaning process?, and if so...	Yes No
Were you provided a clean pair of coveralls, gloves, and safety glasses for your protection?	Yes No
Did the technician fully explain to you the reason for the Personal Protective Equipment?	Yes No
Did the technician answer all of your questions on the harmful effects of mattress allergens?	Yes No
Was the service completed in the estimated time frame?	Yes No
Did you request additional services that the technician could not/would not, do?	Yes No
If additional services were not done, did the technician fully explain why not?	Yes No
Upon completion of the "scope of work" were you completely satisfied with the job done?	Yes No
Did the technician apply a "date done/date due" mattress sticker for your future convenience?	Yes No
Were you offered a misting bottle with the odorless, all natural, dust mite inhibitor?	Yes No
Did the technician provide "tips" that you could do to further protect your family's health?	Yes No
Did you and your family experience easier breathing and a more restful sleep upon waking?	Yes No
Would you suggest our services to other family members, neighbors and friends?	Yes No
If you so choose, this blank space is provided for your testimonial, additional comments, or helpful observations.