Customer Survey & Feedback Form

All of our Dirtbuster Car Wash locations are dedicated to provide you with the best possible products and services available. We constantly look for creative ways to find out what are customers want but the best way to find out is to just ask!

By filling out the survey below, you can help us findout where we need to improve. Your information is safe and will not be shared or sold to other companies...that's our Dirtbuster promise to you. Thank you for helping us make Dirtbuster Car Wash a better company!

Required fields

	Full Name:
	Email Address:

Rate the following questions on a scale of 1-5 whereas 5 being the best possible rating.

Were you completely satisfied with your wash?

Were our facilities clean?

Were our staff prompt and courteous?

Would you consider yourself satisfied?

Would you recommend us to a friend?

Provide any additional comments or feedback below.

Word Verification:		Carefully type the characters you see in the picture below. Form submission will fail if there is a mis-match. (What is this?)
		Letters are not case sensitive