Location
Goodyear - Estrella ParkwaySurprise - Bell RoadBuckeye - Watson Road

Date

Time

General Questions

Which wash did you experience?
---TouchupBasicManager's SpecialDesert Shield

How did you hear about us?
---Drive ByWord of MouthSocial MediaGoogleOther

Will you recommend us to friends and family?
---YesNo

Will you return?
---YesNo

Please rate your experience as follows

1-Poor 2-Below Average 3-Average 4-Acceptable 5-Excellent

General appearance of the site
N/A12345

Loading attendant directions and response
N/A12345

Friendliness of Staff
N/A12345

Wash quality
N/A12345

Vacuum quality
N/A12345

Overall Experience
N/A12345

General Comments

Customer Information

If you prefer, we would be glad to contact you to resolve any problems (or if you just want to say nice things to us, that's okay too!)

YOUR PRIVACY WILL BE RESPECTED! We are like you; we don't like spam mail and unwanted calls either.

Name

Email

Telephone

May we contact you?
YesNo