About You...
First Name: Email:
Purpose of Visit...
Which of the following best describes the purpose of our visit:
Sales/Installation Sevice/Repair
Your Experience...
1 being the worst and 10 being the best
12.Which of the following did we discuss or provide? (check all that apply)
Indoor Air Quality products (air cleaners, humidifiers, etc...) Inconsistent temperature/comfort levels in different areas of your home The benefits of a matched heating and air conditioning system A range of options to solve your comfort problems Optional extended warranties Financing Plans you have for future remodeling
13. Are you interested in a service and/or a maintenance agreement?
Yes No Already Have
1 2 3 4 5 6 7 8 9 10
Referral Program
Installation:
Service:
Receive $25 for referring someone for a service call or tune-up. Please fill out the information below.
Your Name: Referral's Name:
Phone: Referral's Phone:
Email:
Please take a moment to fill out our online survey Site Map1st Choice Heating & Cooling, Inc. S30 W24698 Sunset Drive, Waukesha, WI 53189 Ph: 262-547-2030 Fax: 262-524-9001 Copyright© 2006 1st Choice Heating & Cooling, Inc., All Rights Reserved. This site was created by OrionWeb Consulting Services
Please take a moment to fill out our online survey
Site Map1st Choice Heating & Cooling, Inc. S30 W24698 Sunset Drive, Waukesha, WI 53189 Ph: 262-547-2030 Fax: 262-524-9001
Copyright© 2006 1st Choice Heating & Cooling, Inc., All Rights Reserved.
This site was created by OrionWeb Consulting Services