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Completion and Acceptance Form and Survey
This form and survey is issued to confirm Brampton Park Home Services (BPS) have completed the works as instructed and in accordance with HSE requirements and any other associated regulations.
Customer Name
(Required)
Park Name if Applicable
Risk Address
(Required)
Address Line 1
Address Line 2
Town/City
Post Code
Completion Date
(Required)
DD slash MM slash YYYY
Type of incident
(Required)
Feedback
We welcome your feedback in order to improve our service. Your time is greatly appreciated.
Punctuality
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Appearance
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Organisation
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Cleanliness
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Professionalism
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Workmanship
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Communication
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Final Finish
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Other comments and feedback
Please rate your overall experience with Brampton Parkhome Services UK LTD
(Required)
Excellent (5)
Good (4)
Average (3)
Poor (2)
Very Poor (1)
Would you recommend our service to others?
(Required)
Yes
No
Important
Please note: DO NOT SIGN this form until you are completely satisfied that the contractor has fulfilled their obligations to you and that the installation and/or repairs have been completed.
Signed by Policy Holder
(Required)
The undersigned hereby certifies that the work has been completed satisfactorily and payment can be released directly to the contractor.
Print Name
Signed by Engineer
(Required)
Name of engineer
Date
(Required)
DD slash MM slash YYYY
Email
This field is for validation purposes and should be left unchanged.