Customer Feedback Customer Feedback Customer Feedback Company Name/Individual Name Primary Contact Name Contact Phone Number Email Address ABOUT THE CSR: When speaking with the CSR, was he/she courteous and polite? YES NO ABOUT THE CSR: Did your CSR inform you of the charges/cost associated with the requested service(s)? YES NO ABOUT THE CSR: How would you rate your satisfaction with the CSR that you spoke to? N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied ABOUT YOUR DRIVER: Was the driver neat and courteous? YES NO ABOUT YOUR DRIVER: Did your driver present you with the appropriate work order for signature? YES NO Noone was available Unknown ABOUT YOUR DRIVER: If the driver made any spills, were the spills cleaned up prior to leaving? YES NO ABOUT YOUR DRIVER: How would you rate your satisfaction with the driver? N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied How would you rate your satisfaction with the amount of time it took H.O.E. to get a truck to your facility after you requested a pick up? N/A Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied What product/service did H.O.E. complete for you on the most recent dispatch? (choose all that apply) WASTE OIL WASTE ANTIFREEZE WASTE WATER OIL FILTERS OILY DEBRIS EMULSION UNIVERSAL / ELECTRONIC WASTE PARTS WASHER SERVICE VAC SERVICES OTHER - comment below Would you like a Customer Service Representative to contact you? (please be sure to provide a contact name and email/phone above) YES NO Comments/additional information reCAPTCHA If you are human, leave this field blank.