Hawthorne Auto Clinic
 4307 SE Hawthorne Blvd  Portland, OR  97215
Tel: (503) 234-2119    Fax: (503) 234-4230
 


CUSTOMER SERVICE EVALUATION 

We at Hawthorne Auto Clinic wish to provide you, our customer, prompt and effective repair and maintenance services for your vehicle.  We rely on information from your comments to evaluate the quality of our service and make needed improvements.  When you take the time to fill out and return this survey you help each of us here be more successful in our efforts to meet your automotive service needs.

Name (optional):    

Invoice Number (optional):

I am a  first time customer previous customer
1. Did the repair or service we performed meet your expectations?    Yes No
2. Was the vehicle ready at the arranged time?  Yes No
3. If additional work was needed, were you consulted?  Yes No
4. Was the final bill within the cost of repairs agreed on?  Yes No
5. Did we explain the repair to your satisfaction?  Yes No
6. Did you feel the shop was clean/tidy enough?  Yes No

7. Overall, how would you rate your satisfaction with our service?
                                      Excellent Above Average Good Fair Poor
8. Will you recommend this service facility to others?   Yes No
9. Would you like us to remind you when your vehicle is due for service? 
 Yes No

I prefer to be contacted via: Email   Phone   Other:

Day Phone: 
 Evening Phone:
Cell Phone: 
  		FAX: 
E-Mail: 
Comments: 
 Please leave any additional comments you may have:
As an anti-spam measure, please type below the word
you see in the picture at left:

 
(this entry is case-sensitive)