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Service  Department Customer Survey
Please fill out the following information, and click the Submit button. Our Internet Service Coordinator will be in touch with you soon.
Customer Information
First Name: *  
Last Name: *  
Email Address: *    
What brought you to our dealership?     
HomePhone:
Work Phone:
Cell Phone:
Preferred Contact:
Address:
City:
State:
Zip Code:
Visit Information
What was the name of your service writer?    
Date of Visit:
What make and model vehicle did you bring to service to be repaired?



Make: 

Model: 

 
About the Website

Please rate your level of satisfaction on a level of 0 to 10 with 0 being not applicable and 10 being the highest satisfaction
1. How would you rate your initial greeting?  
Not Applicable      Above Satisfaction
2. How would your service writer's understanding of your vehicle problem?   
Not Applicable      Above Satisfaction

3.  How would you rate the treatment given by our service department?

  
Not Applicable      Above Satisfaction
4. How would you rate the appearance of our customer lounge? 
Not Applicable      Above Satisfaction
5.  How would you rate the comfort level of our customer lounge?
Not Applicable      Above Satisfaction
If you contacted us...
1- If you had contacted us or requested information what was your response time?
2. Regarding the contents of our response, how informative and helpful was the information provided?
Not Applicable      Above Satisfaction
3. Please rate the format and presentation of our response
 		 
Not Applicable      Above Satisfaction
5. Please rate Please rate the overall satisfaction of your BillCollinsFord.com experience.  
Not Applicable      Above Satisfaction
6. If you rated us a 5 or less in any category please tell us why? 
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