Testimonial Form

Name: ________________________________________________
Address: ______________________________________________
City, State, Zip: _________________________________________

Occupation: ____________________________________________

How many times have you used my service to clean your carpets,furniture,
drapery or leather?______________________________________

What is your overall feeling about my cleaning company?

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

What can I do as working owner to improve my service?

Describe the one or two benefits that you have gotten from my service that you value the most.Explain specifically what you’ve gotten out of them.

Thank you very much! I really appreciate your honest answers.

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

Signature, Date
_______________________________________________