FORTUNE FORD AFTER SERVICE FEEDBACK FORM
Name
Model
Service Date

MM 		/
DD 		/
YYYY
Mobile Number
Email
Service Location
Vehicle Num
Service Advisor

Questions and Responses

Overall service satisfaction
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

Bringing Your Vehicle in for Service

Overall getting vehicle in for service
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Convenient day/time for vehicle service
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Appearance of service department
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Efficiency of check-in process
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

Your Service Advisor

Service Advisor Overall
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Treated with courtesy and respect
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Understanding your service needs
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Keeping informed of vehicle status
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Answer/resolve concern in timely manner
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Follow through on commitments
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

Quality of service performed
Quality of Service Performed
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
All requested work completed?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Fixed right first time
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Length of time to complete the service
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Vehicle ready when promised
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Service Type
 Scheduled Maintenance 
 Warranty Repair 
 Free Service 
 Mechanical 

Picking up your Vehicle

Overall vehicle pick-up process
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Time to retrieve vehicle
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Cleanliness of vehicle
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

Paying for the Repairs

Pay for work performed?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Price estimate before work started?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Additional work identifed after initial estimate?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Agree price with you prior to additional work?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Final invoice match estimate?
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Explanation of work and charges
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Value of service for price paid
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Advising of future maintenance needs
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

After Service Follow-up and Concern Handling

Service Follow-up
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Did you have a concern? (% No)
 Yes 
 No 
Overall concern resolution
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 

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 
Ford earning your trust
 Completely Satisfied 
 Very Satisfied 
 Somewhat Satisfied 
Person completing the same as indicated
Gender
Age

 
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