Customer Survey
Email
*
example@example.com
Phone Number (Optional)
Please enter a valid phone number.
What service did you purchase today?
Touch-Free Auto Wash
Self Serve Wash Bay
Self Serve Vacuum
Tire Air Machine
Vending Machine
Ice Machine
Select all that apply.
Overall, How satisfied are you with the service you received?
*
1
2
3
4
5
How often do you use our service?
*
Once a week
Once a month
Once every 3 months
First time
Other
How likely is it that you would recommend our car wash service to a friend or colleague?
*
Not at all likely
1
2
3
4
Extremely likely
5
1 is Not at all likely, 5 is Extremely likely
Additional Comments?
Name (Optional)
First Name
Last Name
Please verify that you are human
*
Submit
Should be Empty: