MFES In Unit Customer Survey
Customer Information
Customer Name
*
Email
example@example.com
Property Address
Street Address
Street Address Line 2
City
State / Province
Zip Code
Reference Number
Contractor Name
Please Select
American Eco Services (ECO)
Community Outreach Services (COS)
Faith Com Inc (FCI)
Quality Conservation Services (QCS)
Reliable Energy Management Inc (Reliable)
Staples & Associates Inc (Staples)
Synergy Energy Efficiency (Synergy)
The East Los Angeles Community Union (TELACU)
TRC
Winegard Energy Inc (Winegard)
Work Completed Date
-
Month
-
Day
Year
Date
Did the Energy Specialist, Weatherization Specialist and/or the program subcontractor introduce themselves and show their identification?
Yes
No
Do Not Recall
If no, please explain
Did the Energy Specialist, Weatherization Specialist and/or the program subcontractor appear and act professionally?
Yes
No
Do Not Recall
If no, please explain
Did the Energy Specialist, Weatherization Specialist or the program subcontractor thoroughly explain the program and tell you specific ways to save energy?
Yes
No
Do Not Recall
If no, please explain
Did the Weatherization Specialist or program subcontractor explain what they were installing?
Yes
No
Do Not Recall
If no, please explain
Did the Weatherization Specialist or program subcontractor take precaution to protect your home from dirt, damage and clean up after their work?
Yes
No
Do Not Recall
If no, please explain
Please rate the following questions:
How satisfied were you with the performance and quality of the energy-efficient improvements installed in your home?
Dissatisfied
Somewhat Dissatisfied
Somewhat Satisfied
Satisfied
Extremely Satisfied
How satisfied were you with the services visit at your home?
Dissatisfied
Somewhat Dissatisfied
Somewhat Satisfied
Satisfied
Extremely Satisfied
How likely are you to recommend this program to friends and family?
Unlikely
Somewhat Unlikely
Somewhat Likely
Likely
Extremely Likely
Do you have any other recommendations, comments, questions, or concerns?
Submit
Should be Empty: