Survey Form - Bloom Bus Charter Services

* required fields

Charter Order Number*

Name*

Address 1*

Address 2

City*

State*

Zip Code*

Phone Number

E-mail Address*

On a scale of 1 to 5 ( 1=poor and 5=excellent), please rate the following on our motorcoach:

Did the coach run smooothly and free of unusual vibrations or other uncomfortable conditions?

1 2 3 4 5

Was the Lavatory clean,operable, and free of offensive odor?

1 2 3 4 5

Were the air-conditioning/heating units working properly?

1 2 3 4 5

Were the audio and video components working properly?

1 2 3 4 5

Did the driver keep the coach clean during the trip?

1 2 3 4 5

Overall How were you satisfied with the coach?

1 2 3 4 5

On a scale of 1 to 5 ( 1=poor and 5=excellent), please rate the following regarding your driver:

Was the driver prompt to the pickups thorughout your trip?

1 2 3 4 5

Was the driver neat, well groomed and in uniform thorughout the trip?
(Bloom Shirt, Black Pants and Tie)

1 2 3 4 5

Did the driver assist the passengers on and off coaches at all times?

1 2 3 4 5

Was the driver cautious/competent in his/her driving ability?

1 2 3 4 5

Was the driver's attitude friendly,positive and professional?

1 2 3 4 5

Did the driver have a good knowledge of where he/she was going?

1 2 3 4 5

Overall how were you satisfied with the driver?

1 2 3 4 5

Additional Comments