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* 1. Contact Details

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* 2. How did you report your repair?

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* 3. Are you satisfied with the way the work was carried out in your home?

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* 4. Was your repair fully completed during the first visit?

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* 5. Did the contractor arrive at a convenient or pre-arranged time/date?

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* 6. If the operative was running late did they advise you, or phone ahead of the appointment?

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* 7. Was your repair easy to report?

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* 8. Did the contractor identify themselves/show I.D?

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* 9. Was the contractor’s appearance tidy & were they polite?

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* 10. Was your house left in a clean/tidy condition?

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* 11. If unsatisfied please provide details below:

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* 12. How satisfied or dissatisfied were you with the repairs service?

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* 13. Consent:
I am happy for Southside Housing Association to contact me about feedback opportunities, consultations and events as part of the SHA Participation and Empowerment (SHAPE) initiative.

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