Maintenance Survey

        Company:                        

        First name:                                  MI:        Last name:

        Title:

        Address:

        City:                                              State:                             Zip:

        Phone:                                               Fax:

        E-Mail:

        Would you like to talk to a contract service representative?

        yes    no

        When is the best time to call?

        6:00 am-9:00am  9:00am-12:00pm  12:00pm-3:00pm

        How do you feel about your current service?

        Excellent  Good  Fair  Poor

        How often do you utilize this type of service?

        Annually  Semi-Annually  Monthly

        What type of window treatments are installed at your facility?

        Levolor  Hunter Douglas  Graber  Other

        How old are they?

        1-5 years  5-10 years  10-15 years  15-20 years

        How often do you replace window treatments?

        1-5 years  5-10 years  10-15 years  as needed

        How important is this type of service to you?

        Very  Somewhat  Not at all