Auto Repair Shop Service Satisfaction Form

Name Contact Number Email Vehicle Make & Model Service Date

Please rate the following:

Overall Satisfaction

1 2 3 4 5

Quality of Repair

1 2 3 4 5

Timeliness

1 2 3 4 5

Professionalism

1 2 3 4 5

Cleanliness of Facility

1 2 3 4 5

Additional Comments or Suggestions