Customer Feedback

Customer Satisfaction Survey

Thank you for using Essential Referrals To help us maintain a high quality of service, please provide us with feedback by filling in the information below.

After you have completely filled out this feedback form you will be sent an email offer with $25 off your next appointment, please check your bulk folder for this email, if you do not recieve an automated response after submitting this feedback form please contact us at 678-478-3182 Monday - Friday from 10am-5pm. We can not honor discounts if your feedback is on a model who is no longer with our service and you can not use your discount here with any other specials or offers. We do not permit any specials to be combined. Thank you again.

Essential Referrals

* What Model did you see?

* Date of Visit (MM/DD/YYYY)

* Was this your first visit to Our Service?

Yes

No

* Please choose the best answer for each of the following.

	Yes	Somewhat	Needs Improvement	No
The Phone Dispatcher was friendly
The Phone Dispatcher was eager to help
The Phone Dispatcher and model were polite
The Incall was clean
The Incall was well organized
The Incall was well stocked
The Incall felt safe
The Model looked like her photos
You were greeted pleasantly
You were provided your full appointment time and not rushed
The model was dressed nice and had her hair and makeup done well
Did you feel a sense of privacy
Was booking an appointment easy
Do you feel the models donation is reasonable

* on a scale of 1-10 how would you rate your overall experience?

What refreshments were you offered and what refreshments did you accept and ask for?

Please tell us what we can do to make your next visit even better? What improvements would you like to see?

* How likely are you to use our service again?

Comments or Suggestions

First Name

Last Name

Phone

* Email Address

* Indicates Response Required