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P O Box 1556
TULLAMARINE 3043
Victoria  Australia
Tel +613 8340 3200
Fax +61 3 8340 3248
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Carwash Survey Form

Have you used a carwash facility recently? How was your experience?

We'd like to hear from you.  Please take a few minutes to tell us about your wash experience

User Information

Name : Email Address :

Type of Wash

 Self Serve (Do It Yourself)
 Touchfree Automatic (Brushless)
 Brush Automatic
 Carwash Cafe
 Hand Wash

How would you rate your carwash experience?

 Very Satisfied
 Satisfied
 Somewhat Dissatisfied
 Dissatisfied

Why did you choose this carwash facility? (Check all that apply)

 Brand Name
 Quality of Product
 Value For Money
 Easy to Use
 Convenient Location

Other Reasons (Please specify)

How often do you wash your vehicle?

 0 - 5 times per month
 6 - 10 times per month
 11 - 15 times per month
 16 - 20 times per month
 More than 20 times per month

Additional Comments / Feedback

Information About Your Recent Experience

Date Vehicle Washed:
Type of Vehicle Washed:
Facility Name:
Location:

E-mail communication

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