BJ Electric

Residential Commercial
Initial Contact with office:
Outstanding Average Needs Improvement
Promptness of call back?
Outstanding Average Needs Improvement
Was job performed on schedule?
Outstanding Average Needs Improvement
How would you rate our service?
Outstanding Average Needs Improvement
How would you rate our price?
Outstanding Average Needs Improvement
Will you call us again?
Yes No
How did you hear about us?
TV Ad Billboard Yellow Pages Other If other, please specify:
Comments:

Optional Information:
Name:
Address:
City:
State:
Zip:
Phone:

**If you would prefer, you may print this form and fax to (979) 826-0111.