CUSTOMER SURVEY

Specifically, how would you rate me on these items?

1. Source of ___ Excellent ___ Satisfactory ___ Unsatisfactory

information
2. Keeping you ___ Excellent ___ Satisfactory ___ Unsatisfactory
informed
3. Problem solving ___ Excellent ___ Satisfactory ___ Unsatisfactory
4. Listening skills ___ Excellent ___ Satisfactory ___ Unsatisfactory
5. Availability ___ Excellent ___ Satisfactory ___ Unsatisfactory
6. Enthusiasm ___ Excellent ___ Satisfactory ___ Unsatisfactory
7. Easy to work with ___ Excellent ___ Satisfactory ___ Unsatisfactory

What did you like about working with me? __________________________________________

_____________________________________________________________________________

Would you recommend me to others? ___ Yes ___ No

May I use you as a reference? ___ Yes ___ No

Would you write a letter of recommendation for me? ___ Yes ___ No

What areas could I improve on? _______________________________________________

_____________________________________________________________________________

Services you would like to see me add:_________________________________________

_____________________________________________________________________________
_____________________________________________________________________________

Do you know anyone who could use my help with a real estate purchase or sale in
the future?

NAME ______________________________________________________________
RELATIONSHIP ___________________________ PHONE ___________________________
ADDRESS ______________________________________________________________
COMMENTS ______________________________________________________________

NAME ______________________________________________________________
RELATIONSHIP ___________________________ PHONE ___________________________
ADDRESS ______________________________________________________________
COMMENTS ______________________________________________________________

NAME ______________________________________________________________
RELATIONSHIP ___________________________ PHONE ___________________________
ADDRESS ______________________________________________________________
COMMENTS ______________________________________________________________

Signature (optional): ___________________________________ Date: ____________________

THANK YOU!