FORTUNE FORD AFTER SERVICE FEEDBACK FORM
Full Name
First Name
Last Name
Model
Service Date
/
Month
/
Day
Year
Mobile Number
*
E-mail
*
Service Location
Vehicle Number
Service Advisor
Questions and Responses
Overall service satisfaction
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Bringing Your Vehicle in for Service
Overall getting vehicle in for service
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Overall service satisfaction
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Convenient day/time for vehicle service
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Appearance of service department
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Efficiency of check-in process
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Your Service Advisor
Service Advisor Overall
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Treated with courtesy and respect
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Understanding your service needs
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Keeping informed of vehicle status
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Answer/resolve concern in timely manner
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Follow through on commitments
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Quality of service performed
Quality of Service Performed
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
All requested work completed?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Fixed right first time
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Length of time to complete the service
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Vehicle ready when promised
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Service Type
Scheduled Maintenance
Warranty Repair
Free Service
Mechanical
Picking up your Vehicle
Overall vehicle pick-up process
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Time to retrieve vehicle
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Cleanliness of vehicle
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Paying for the Repairs
Pay for work performed?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Price estimate before work started?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Additional work identifed after initial estimate?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Agree price with you prior to additional work?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Final invoice match estimate?
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Explanation of work and charges
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Value of service for price paid
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Advising of future maintenance needs
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
After Service Follow-up and Concern Handling
Service Follow-up
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Did you have a concern?
Yes
No
Overall concern resolution
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Dealer Relationship
Recommend dealership for service
Yes
No
Dealership earning your trust
Yes
No
Brand Relationship
Recommend Ford product
Yes
No
Vehicle quality
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Ford earning your trust
Completely Satisfied
Very Satisfied
Somewhat Satisfied
Completely Dissatisfied
Person completing the same as indicated
Gender
*
Male
Female
Age
*
25-35
35-45
45-60
Comments
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