Customer Survey

Customer Survey

How are we doing?

How are we doing?

Thank You!

Take our short online survey. Your feedback will help us serve you better.

Thank you for your patronage!

All Fields Are Required

Name:
(First, MI, Last)

Mr. Ms. Mrs.

Address:
(City, State, ZIP)

Date of Service:

Time of Service:

Type of Service:
(check all that apply)

Heating oil delivery
Service call
Equipment Installation
Other

If other, please explain:

Name of individual(if known):

BEFORE SERVICE

Please rate our service from 1 (poor) to 5 (excellent) by clicking on the appropriate circle. If the question does not apply, please click on the "N/A" cicle.

DURING SERVICE

Please rate our service from 1 (poor) to 5 (excellent) by clicking on the appropriate circle. If the question does not apply, please click on the "N/A" cicle.

	1	2	3	4	5	N/A
The service was performed in a timely manner.
The person who performed the service was knowledgeable.
The person who performed the service understood your needs
The person who performed the service was polite and attentive.
The person who performed the service was courteous and respectful.
The person who performed the service was neat and well groomed.
The person who performed the service explained the work to be done.
The person who performed the service had all the parts I needed.
If the parts were unavailable, the person who performed the service was able to secure the parts quickly.
The Peterson Oil service van was clean and in good condition.
The Peterson Oil service van was parked in an appropriate location.

AFTER SERVICE

Please rate our service from 1 (poor) to 5 (excellent) by clicking on the appropriate circle. If the question does not apply, please click on the "N/A" cicle.

Please click on either the "Yes" or "No" circle for the following statements.

The person who performed the service in my home ...	Yes	No
Smoked cigarettes while working.
Ate or drank while working.
Used foul or disrespectful language while working.
Cleaned up the work area when finished.

FOR OIL DELIVERY ONLY

Please rate our service from 1 (poor) to 5 (excellent) by clicking on the appropriate circle. If the question does not apply, please click on the "N/A" cicle.

	1	2	3	4	5	N/A
(For COD customers) My oil was delivered when Peterson oil said it would.
(For automatic delivery customers) My oil was delivered when my tank was one-quarter full or less.
(If you saw the Peterson Oil delivery truck) The truck was clean and in good condition.
(If you saw the delivery person) The delivery person was neat and well-groomed.
The delivery person completely filled my tank.
The delivery person left my property in good condition.
The delivery person left a delivery ticket in the proper location.
The delivery ticket was not damaged by rain or snow.
The delivery ticket was neatly completed and easy to read and understand.

CUSTOMER SATISFACTION

Please rate the following statements from 1(not at all likely) to 5 (very likely).

If not please explain:

What other suggestions do you have to improve our services?

How did you learn about Peterson Oil?
(check all that apply)

Already a customer
Direct mail
Referral
Newspaper
Web site
Yellow Pages
Other

If other, please explain:

Please correctly type in the following phrase to verify:
Please type p.e.t.e.r.s.o.n. without the periods in the box:

Your phone call was answered promptly.

The customer service representative understood your needs.

The customer service representative answered all of your questions.

The customer service representative was polite, helpful and attentive.

The customer service representative connected you with the appropriate party, if needed.