CleanerTestimonialCollectionForm.pdf

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Testimonial Form

Name ________________________________________________________________________

Address ______________________________________________________________________

City, State, Zip _________________________________________________________________

Occupation ____________________________________________________________________

How many times have you used us to clean your carpets? _______________________________

What is your overall feeling about our carpet cleaning company? _________________________

______________________________________________________________________________

Describe in detail a specific experience with us that you were happy with.

______________________________________________________________________________

Describe the one or two benefits that you have gotten from us that you value the most. Explain

specifically what you've gotten out of them.

______________________________________________________________________________

_____ I do NOT mind if you use my name in any or all of your promotional material(s).

________________________________________________________________________

Signature

Date

Thank you very much. We really appreciate your honest answers.