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Service Feedback
Facility Name:
Address 1:
Address 2:
City:
State:
Zip Code:
Contact Name:
Contact Phone:
Contact E-mail:
Date of Service:
Service Engineer:
Type of system on which Unisyn FSE performed service:
Manufacturer:
System Model:

Emergency [system down] or scheduled [preventive maintenance] service:
Emergency [system down]         Scheduled [preventative maintenance]
Did Unisyn call to confirm appointment within 2 hours of service request (may not be a service engineer; could be a dispatcher)?
Yes        No
Did the Service Engineer arrive on time?
Yes        No
Did the Service Engineer project a professional image (was he/she dressed appropriately; did he/she act professionally; etc.)?
Yes        No
Did the Service Engineer appear to be knowledgeable about the system and/or problem(s)?
Yes        No
Did the Service Engineer arrive with the right parts to repair the system?
Yes        No
Did the Service Engineer resolve all issues within the scheduled time period?
Yes        No
Did the Service Engineer provide a complete Service Report describing the issues and repair activity?
Yes        No
Did the Service Engineer provide accurate information on estimated repair costs?
Yes        No
The system is now repaired and is functioning properly.
Yes        No
What is your overall grade for this service action?
Excellent
Good
Average
Poor
Bad
Any Additional Comments?
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