Customer Survey Complete the following survey for a chance to win FREE Car Washes! Order Number Name * Date of Visit * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Email * Phone * Car Wash Location * 2205 W 2nd St 905 S Locust St My car came out clean. * Strongly Disagree Disagree Neutral Agree Strongly Agree N/A (did not use this service) The vacuums worked efficiently. * Strongly Disagree Disagree Neutral Agree Strongly Agree N/A (did not use this service) The facilities are well maintained and efficient. * Strongly Disagree Disagree Neutral Agree Strongly Agree N/A (did not use this service) The environment was clean. * Strongly Disagree Disagree Neutral Agree Strongly Agree N/A (did not use this service) Overall Experience * I would recommend Gosda's Car Wash to family and friends. Yes No Maybe I will return to use Gosda's Car Wash services. Yes No Maybe Additional Comments *
