survey survey name* city* phone number* product name* serial number Name of the service provider Invoice number Installed by* Representation others Consumer satisfaction with the product:* Yes No reason for dissatisfaction Are you satisfied with the serviceman's behavior?* Yes No reason for dissatisfaction Explain the reason for contacting the agency* Did the serviceman receive money from you for the repair during the warranty period? Has the problem been solved? Yes No Product repair place repair shop Customer’s home
