Client Satisfaction Survey

* Required information

Name*

E-mail*

Telephone*

Address*

City*

State*
---ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip*

Date of service*
---JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Organizer's name*

How satisfied are you with our services?
 Very Satisfied Satisfied Somewhat Satisfied Not Satisfied

Did the organizer leave you feeling more organized?
 Yes No

Are you satisfied with what was accomplished?
 Very Satisfied Somewhat Satisfied Not At All Satisfied

Was the organizer prompt?
 Yes No

Would you like us to contact you regarding a follow-up session?
 Yes No
If so, when?1 week1 month3 months6 months1 year

May we use you as a reference?
 Yes No

May we use your feedback above in our promotional materials?
 Yes No

Would you like to receive our free, monthly, organization e-tips email?
 Yes No I am already subscribed

Please list any friends you would like us to contact regarding our services.
If you refer us a client you will receive one complimentary hour on your next organizing session.