Comfort Care Request Form

1

What's your name? We just need a reference

First Name

Last Name

2

How are you feeling about us coming?Don't feel any pressure, we just like to know how you're feeling in order to better empathize.

frustrated/angry

uncertain

nervous

excited

at one with the universe

I take all my emotions and push them deep within myself, next question

3

If there's more, let us know.

4

How much do you enjoy conversing with the technicians?We enjoy chatting, but not at the sake of your comfort. Help set the boundaries.

Just give me the necessary bits.

I'm open to a little chat before and after the job

I've been known to be a bit of a social butterfly

I've prepare my life's story in preparation of your arrival

5

Any animals we should know about? Kids and spouses do not count.

Kids and spouses not included

6

Do you prefer to watch? It won't be weird. We understand its enjoyable to watch artists work. Our technician may request space if they deem it necessary but we are here to show you what we are doing and answer any questions.

YESNO

7

Is there anything we can do to make your experience more enjoyable?Anything we might have missed?

8

Statement:

Our hope is that, when all our repairs are complete, you felt you were taken care of. This goes beyond making repairs. We want you to feel like you were heard and respected. We hope your upcoming visit will be great. If you are happy with the experience, throw a 5 star review on our google review page. You're awesome!