1. Why did you choose Electra-Sound, Inc?
              Family Referral Friend's Referral Yellow Pages-Cleveland Yellow Pages-Local Salesperson's Referral Mfg's 800 Number Web Page Other

2. Did you call us on the phone?  YesNo

                                Telephone courtesy  Very GoodGoodFairUnsatisfactory

         Was your call handled promptly?  Very GoodGoodFairUnsatisfactory

3. Did you bring your unit to us for repair?  YesNo

                                   Front counter courtesy  Very GoodGoodFairUnsatisfactory

         Counter person helpful and prompt?  Very GoodGoodFairUnsatisfactory

4. If you used our home service was our technician:

                  On Time?  Very GoodGoodFairUnsatisfactory

              Courteous?  Very GoodGoodFairUnsatisfactory

                     Helpful?  Very GoodGoodFairUnsatisfactory

5. Are you satisfied with the quality of our repair?  YesNo

              If you answered no please elaborate why below

6. Was your unit ready on time?  YesNo

7. Were the total charges within the estimate given?  YesNo

8. Overall, how would you rate our service?  Very GoodGoodFairUnsatisfactory

9. Was anything at all wrong with our service?  YesNo

              If you answered yes please elaborate why below

10. Would you recommend Electra-Sound, Inc to your friends?  YesNo

11. So that we may share your feelings, please name the dealer where you purchased your unit

12. Customer name and address (voluntary)