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Survey - 30th Jan 2014

Ward & Sinclair Ltd
Box 239
Gore
2086006
brent@wardsinclair.co.nz
www.wardsinclair.co.nz

Name ………………………………... Email ………………………………………………….

Phone ……………………………….. Cell phone……………………………………………….

Address ……………………………………………………………………………………………………….

Vehicle ……………………………… Reg No ……………………….

Insurance Company (if applicable)……………………………… . ……………………

Reason for choosing Ward & Sinclair Ltd (please circle)
Insurance referral Existing client
Garage or Mechanic referral Word of mouth
Website Yellow pages
Newspaper Radio
Other …………..
_______________________________________________________________________________________

Complete this section when repairs are completed:
Rate 1 to 5 1 being excellent 5 being very poor
Completion of repairs 1 2 3 4 5
Communication 1 2 3 4 5
Quality of repairs 1 2 3 4 5
Quality of paint 1 2 3 4 5
Appearance of work shop 1 2 3 4 5

Any comment on repairs and repair procedures Job No …………….
...............................................................................................................................................................................................................................................................................................................................................................................................................................................................
………………………………………………………………………………………………….
freedom of choice




This form is available on our website
 

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