Diagnostic Labor Survey
Date: ________________________
Repair Facility: Service Station / Tire Store / New Car Dealership
Independent Garage / Specialty Shop / Mass Merchandiser
Company Name:_____________________________________________
Company Address: Phone: ____________________________________
Number of times phone rang before answering: ___________________
Did person answer phone stating Company Name & his/her name? Yes No
Person Spoken To: Title: _____________________________________
Complaint/Problem: _________________________________________
Diagnostic Charge: $ Charged Credited if Repaired? Yes / No
Labor Rate: $ Minimum Labor Fee: $ __________________________
Did the person you talked to ask you to bring your car in? Yes / No
Did the person have good mechanical or product knowledge? Yes / No
If you were really in the need for the above service would you have brought
your car in based on their knowledge and sales effort? Yes / No
Comments: ________________________________________________
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