customer feedback form... 

Customer Feedback Form
Required fields are denoted by *

1. From which Rescar location did you recently receive service? :
2. * What type of service did you request?:
3. * Initial contact for service was made to:
3.1. Other:
4. Over All: (Choose selection: 1 - 5)
4.1. * Ease of doing business:
4.2. * Level of satisfaction with service delivery and scheduling commitment:
4.3. * Safety awareness and safe practices:
4.4. * Quality for service performed:
4.5. * Cleanliness/Housekeeping:
4.6. * Billing accuracy:
5. Personnel: (Choose selection: 1 - 5)
5.1. * Responsiveness:
5.2. * Courteousness:
5.3. * Communication skills and overall professionalism:
5.4. * Knowledge of customer requirements and work being performed:
5.5. * Follow up on service rendered:
5.6. * Timeliness and accuracy of completion of applicable documentation:
6. * How often do you use Rescar to service your railcar maintenance needs?:
6.1. Other:
7. * How strongly would you recommend this location / Rescar?:
8. * We welcome your comments. Do you have any suggestions/comments about the service you received?:
9.1. * Name:
9.2. * Email Address:
9.3. * Phone Number:
9.4. Fax Number:
9.5. * Company Name:
9.6. Address:
9.7. * City, State: ,
9.8. * Zip:
10. Would you like to have a Customer Service Representative call you directly to discuss your experience with Rescar services?:
11. Other Comments/Concerns:
12. Do you have a need for any other types of services and/or service center locations that Rescar currently does not offer? :
Thank you for submitting your comments, suggestions and requests for assistance. If you requested a specific response, we will contact you within two business days..
© 2002 Rescar, Inc.