A commitment to customer satisfaction is our objective. Your evaluation of our services is important to us in making sure that do not fall short of meeting your expectations. Our goal is not just to meet your expectations, but to exceed them. We appreciate your input.

Home Owner's Name:
Email Address:
Earth Tech Project Number

1.	Owner was informed of the project's progress.	Yes			No
2.	Earth Tech employees we're polite and courteous.	Yes			No
3.	The Earth Tech employees worked efficiently to complete this project.	Yes			No
4.	Neighbor's property was respected by Earth Tech employees.	Yes			No
5.	Concrete trucks left roadway clear and unobstructed.	Yes			No
6.	Windows and screens were protected and cleaned. (if required)	Yes			No
7.	Roof was inspected for grout residue.	Yes			No
8.	Air conditioning units were inspected for grout residue.	Yes			No
9.	Grout was removed from grass and landscape.	Yes			No
10.	Holes in concrete caused by Earth Tech, while drilling, were repaired.	Yes			No
11.	Fences were inspected for any damage done by Earth Tech.	Yes			No
12.	Mailbox was inspected for damage.	Yes			No
13.	Pool area was left clean. (If applicable)	Yes			No
14.	A courtesy check of the pool pump was performed. (If applicable)	Yes			No
15.	A courtesy check of the well was performed. (If applicable)	Yes			No
16.	A courtesy check of the sprinkler system was performed. (If applicable)	Yes			No

Comments/Questions:

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Please note: This form is for evaluation. We will not sell or give your information away.