Service Survey

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
Address:
City: State: * ZIP Code:
Survey Questions
How did you schedule your service appointment?
Website Telephone In person
If by phone, how would you rate your wait time?
Excellent Good Fair Poor
If by website, was the service request form easy to locate and use?
Excellent Good Fair Poor
How quickly did we respond?
Was our service staff responsive and courteous?
Yes No
Did you receive a thorough explanation of work performed?
Excellent Good Fair Poor
How would you rate the quality of work performed?
Excellent Good Fair Poor
Would you bring your vehicle back for additional service?
Yes No
* These fields are required
Dale Willey Automotive of Lawrence, also serving Topeka | Homepage
Dale Willey Automotive
2840 Iowa Street
Lawrence, KS 66046
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Phone: (785) 727-1124
Email: Contact Us
Fax: (785) 843-4903
Collision Repair Fax: (785) 843-7718