Custodial Service Customer Feedback Survey

Printable Form

Please answer Yes or No. If 'no', indicate location(s) in comments section.

DAILY TASKS

Regarding restrooms, showers and locker rooms in your area:

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

Additional Comments:


Regarding offices, classrooms, conference rooms, auditoriums,
lectures halls and labs in your area:

Are the 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 and telephones 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:


Regarding entranceways, hallways, and stairways in your area:

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

Additional Comments:


WEEKLY TASKS

Are interior doors, including glass, cleaned? Yes No N/A
Are stairs swept? Yes No N/A
Are handrails, banisters, and posts cleaned? Yes No N/A
Are office floors mopped? Yes No N/A

Additional Comments:


SEMI ANNUAL TASKS

Are window blinds cleaned? Yes No N/A

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

Comment on the security in your area as it related to custodians turning
off lights and locking doors after servicing facility:

Other comments:


Name
E-Mail Address
Dept/Area surveyed*
Date*

*Required for submission

 


Thank you for your comments!

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