Date of Service:
Client's Name
Tech's Name:
How would you rate your experience with Doctor Computer today?	Choose one Excellent Very Good Good Fair Poor
How would you rate your service technician's ability to solve your computer problem?	Choose one Excellent Very Good Good Fair Poor
How would you rate the service technician's attitude? Was he/she friendly?	Choose one Excellent Very Good Good Fair Poor
How would you rate the simplicity of booking your appointment?	Choose one Excellent Very Good Good Fair Poor
Would you use Doctor Computer in the future?	Choose one Yes No
Other: