Custodial Services Customer Feedback Form

If answering "No" please provide additional comments in the comments section.

DAILY TASKS

Restrooms, showers and locker rooms

Are bathroom fixtures and mirrors cleaned? Yes No N/A
Are floors, counters, and stalls cleaned? Yes No N/A
Are shower walls and floors cleaned? Yes No N/A
Are supplies replenished? Yes No N/A

Additional Comments:

 

Offices, classrooms, conference rooms, auditoriums, lectures halls, and labs

Are trash receptacles emptied? Yes No N/A
Is the carpeting vacuumed? Yes No N/A
Are furnishings dusted? Yes No N/A
Are the floors cleaned? Yes No N/A
Are the doors cleaned? Yes No N/A
Are the water fountains cleaned? Yes No N/A
Are the floor mats cleaned? Yes No N/A
Are the chalkboards cleaned? Yes No N/A

Additional Comments:


Public Circulation - entranceways, hallways, stairways, and elevators

Are floors (including elevators) vacuumed or mopped? Yes No N/A

Additional Comments:


WEEKLY TASKS

Are entry doors cleaned (including glass)? Yes No N/A
Are stairwells swept? Yes No N/A
Are handrails, banisters, and posts cleaned? Yes No N/A
Are kitchenette floors mopped? Yes No N/A

Additional Comments:


SEMI ANNUAL TASKS

Are window blinds cleaned? Yes No N/A

Additional Comments:

 

AS NEEDED TASKS

Are trash recepticles cleaned and relined? Yes No N/A
Are separate recycling bins available? Yes No N/A
Is the carpeting spot-cleaned? Yes No N/A
Are the walls spot-cleaned? Yes No N/A

SECURITY

Do custodians turn off lights and lock doors when leaving?

 

Please provide any additional comments you may have to help us
understand how we're doing.

 

*Required for submission

Name
E-Mail
Building/Area surveyed*
Would you like us to contact you?
Date*


Thank you for your comments!

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