Customer Feedback Form


Customer Name
Customer Email Address
Phone Number (optional)

Rate the following questions on a scale of 1-5
whereas 5 being the best possible rating.
Please rate the exterior cleanliness of your car
Please rate the interior cleanliness of your car
Was our staff friendly and did he/she inform you of services that would best enhance your vehicle’s appearance?
Were your Express Interior and/or Express Detail Services completed in a timely manner?
If you purchased a detailing service, was the result all that you hoped it might be?
Please rate the cleanliness of the facility
Overall value for the money
Would you recommend Downtown Car Wash to others?
   
Do you have any suggestions or ideas that would help make
your experience at Downtown Car Wash better in the future?

Would you like for a Downtown Car Wash Customer Service Representative to contact you?
Yes   No

How would you like the Customer Service Representative to contact you?
Phone Email

Carefully type the characters you see in the picture below.
Form submission will fail if there is a mis-match.    (What is this?)

Letters are not case sensitive