Feedback Form

How’d we do? Geotechnology is committed to providing excellent service to our clients. In an effort to keep improving on that service, we want to hear your feedback! It only takes a few minutes and your input is greatly appreciated. If you have no opinion about one of the topics listed, please mark N/A. We value your business and hope to continue to build a stronger relationship through better understanding and improved service.

Required*

Your Name* Your Company* Phone Number Project location* Geotechnology staff that worked with you on this project* Please rate the following as it pertains to our staff:

	Excellent	Good	Fair	Poor	N/A
Understanding of the scope of work
Adequacy of recommendations
Responsiveness
Cooperation and flexibility
Communication skills
Ability to anticipate needs
Appropriate level of follow-up
Innovation
Overall satisfaction level

Please fill out for completed projects only:

	Excellent	Good	Fair	Poor	N/A
Quality of project documents
Ability to meet schedule
Ability to meet budget
Value of service vs. fees paid

Would you consider Geotechnology for future services?

Yes No

May we contact you to review your responses?

Yes No

May we use you as a client reference?

Yes No

May we utilize your project in our Statement of Qualifications as a client/project reference?

Yes No

May we publicize your project in various media outlets?

Yes No

May we contact you to request a written testimonial?

Yes No

If yes, please tell us the best time to contact you. Morning Afternoon Evening You may also write your testimonial here: If you rated our services less than excellent, please tell us how we can improve: Any additional comments?: