MyKPS, Inc.
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Service request form

Please complete as much of this form as possible before you submitting

Name:

 

Company:

 

Email Address:

 

Phone #:

 

Operating System:

 

Type of Equipment:

 

Type of Problem:

 

Manufacture:

 

Model:

 

Description of Problem:

 

Service status request

Enter your service #  

Performance Survey

First Name:   Optional
Last Name:   Optional
 

Please help us keep the survey as accurate as possible by filling in all the questions.
Use "No observation" if you did not make an observation.

1. How would you rate the quality of service?

Response time:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

Time to repair:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

Confidence in repair:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

2. How would you rate the operation.
 

Ease of placing service call:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

Hours of operation:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

Overall rating:
 unsatisfactory
 needs improvement
 satisfactory
 exceptional
 no observation

Comments: