8218 Leesburg Pike Vienna, VA 22182

Customer Name
Customer Email Address

Rate the following questions on a scale of
1-5 whereas 5 being the best possible rating.

Can you rate the exterior
cleanliness of your car?
Can you rate the interior
cleanliness of your car
If you purchased a detailing service, was the result all that you hoped it might be?
Please rate the cleanliness of the facility
Overall value for the money
Would you recommend Champion
Car Wash to others?
Do you have any suggestions or ideas that would help make your
experience at Champion Car Wash better in the future?
Would you like for a Champion
Car Wash manager to contact you?		 yes no