Customer Evaluation

Thank you - Customer service is very important to us. We appreciate your time in filling out the information below to let us know how we are doing.

Please Rate Your Experience

How Courteous was your Service Representative?

On a scale from 1 to 10 with 10 being "Very Courteous"
How convenient were the scheduling options to your needs?

On a scale from 1 to 10 with 10 being "Very Convenient"
How Courteous was your Glass America Service Technician?

On a scale from 1 to 10 with 10 being "Very Courteous"
Did the Glass America Service Technician inform you of your safe drive away time?

(Not applicable for Windshield Repair)
Please Rate the Quality of Work Performed

On a scale from 1 to 10 with 10 being "Excellent"
Please Rate your Overall Service Experience

On a scale from 1 to 10 with 10 being "Excellent"
How likely are you to recommend Glass America to a friend or family member?

On a scale from 1 to 10 with 10 being "Very Likely"
How did you Find Us?

First Name:

Last Name:

Email Address:

Phone:

Invoice Number:

Insurance Company:

Agent:

Technician Name

State:

City: