First Name
Last Name
Business Name (if applicable)
Sales Consultant (If You Remember)
Friends Name (Optional)
Friends Phone (Optional)
Friends Email (Optional)
1.) How was your overall purchase experience?
Completely Satisfied Very Satisfied Satisfied Somewhat Satisfied Not At All Satisfied
2.) How do you rate your sales consultant?
3.) How do you rate your finance consultant?
4.) Would you give the same score on your manufacturers survey?
Yes No
5.) Were you given a tour of our facility by your sales person?
6.) Was your interior and exterior clean at time of delivery?
7.) Did you receive a date for your first free oil change?
8.) Are you fully aware of our "Refer a Friend" Program?
9.) Are you problem free and do not need a phone call from a Putnam Chrysler Dodge Jeep KIA representative?
Any Questions or Additional Concerns?