Questionnaire

    Facility*:

    Date*:

    Is the floor in your area vacuumed/mopped regularly? YesNo

    Is your trash removed regularly? YesNo

    When you clear your desk, do we dust? YesNo

    Is the restroom that you use cleaned regularly? YesNo

    Are the public areas of this building acceptable? YesNo

    Overall, how would you rate the cleaning service in this building?




    Each Month Two Lucky Respondents Will Receive A Free $25 Dinner On Us!

    Name*:

    Date*:

    Select One: Chili’sOlive GardenVenue

    *Eligibility dependent upon your company’s gift policy.

    Comments:
    Phone Number*:
    Email Address*: