Back Take 5 Oil Change Home Page Locations and Coupons Online Customer Survey Online Employment Application
Please Fill Out Our Online Customer Survey
Title Optional:
First and Last Name
Email Address
Date of Service
Invoice Number

Service Location (Choose one):
Metairie, LA 3550 S I-10 Service Road
2124 Clearview Pkwy.
3905 Airline Drive
3100 W. Esplanade Ave.

Northshore, LA 198 Gause Blvd. (Plaza 190 Center) - Slidell
2167 Gause Blvd. - Slidell
4058 Hwy. 59 - Mandeville
3849 Highway 22 - Mandeville
104 W. 30th Ave.(@ Hwy 190) - Covington

Baton Rouge, LA 8441 Airline Hwy
7808 Bluebonnet Blvd (@ Perkins)
2746 O’Neal Lane
10714 Coursey Blvd
414 Florida Ave., SW (Denham Springs)

Greater New Orleans, LA 3600 Paris Road - Chalmette
3803 General DeGaulle Drive - Algiers
7104 Hwy 23 (Belle Chase Hwy.) - Belle Chase
1700 Manhattan Blvd. - Harvey
13166 Highway 90 - Boutte

Gulfport, MS
Ocean Springs, MS
11310 Hwy 49 - Gulfport
2698 Bienville Blvd - Ocean Springs


On a scale of 1- 10 (1 being the lowest and 10 being the highest) how would you rate the following?:
Overall Service 1   2   3   4   5   6   7   8   9   10  

Shop Cleanliness 1   2   3   4   5   6   7   8   9   10  

Employee Friendliness 1   2   3   4   5   6   7   8   9   10  

Speed of Service 1   2   3   4   5   6   7   8   9   10  

Knowledge of Employees 1   2   3   4   5   6   7   8   9   10  

Were you offered a drink at anytime during your service? Yes    No

How long did you wait during the service?(time in bay/shop) Chose an estimate of time:
Would you recommend us to a friend? Yes    No

Were you pleased with your service? Yes    No

What else could we do to make your experience more pleasant?

  Please complete all fields.

Internet Services Provided by
New Directives, LLC.