Custodial Services Survey

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Please take a few minutes and fill out this survey of the cleaning services being provided by the custodial staff assigned in your area. Recommendations/comments are welcomed.   

Building Name

Floor

Choose one

Restroom(s)

Paper Supplies Excellent Good Fair Poor N/A

Sanitized Excellent Good Fair Poor N/A

Chrome Excellent Good Fair Poor N/A

Mirrors Excellent Good Fair Poor N/A

Dispensers Excellent Good Fair Poor N/A

Offices 

Carpet Vacuum Excellent Good Fair Poor N/A

Trash Emptied Excellent Good Fair Poor N/A

Floors Dust Mopped Excellent Good Fair Poor N/A

Desktop dusted Excellent Good Fair Poor N/A

Blinds cleaned Excellent Good Fair Poor N/A

Hallway/Stairway 

Floors Clean Excellent Good Fair Poor N/A

Free of debris Excellent Good Fair Poor N/A

Handrails clean Excellent Good Fair Poor N/A

Classroom/s 

Trash Emptied Excellent Good Fair Poor N/A

Floors Dust mopped Excellent Good Fair Poor N/A

Chalkboard/Dry Erase Board clean Excellent Good Fair Poor N/A

Service to clients, students, administration Outstanding Excellent Very Good Good Fair Poor N/A

Comments/Recommendations

Date of Evaluation