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Customer Survey Form

Please take a moment to provide us with valuable feedback.  Thank you.

 

Tell us how to get in touch with you:

 
 
 
(xxx-xxx-xxxx)  
 

Tell us about the service you received:

 
 

PLEASE RATE OUR SERVICE:

1. Timeliness (product or service delivered as expected or agreed)?
 

2. Quality (product or service delivered as expected, accurate information, well made)?
 

3. Responsiveness (courteous, polite, quick response to inquiries, flexible, honest, professional)?
 

4. Reliability (understood your needs, knowledgeable, communicated quality and delivery)?
 

5. Value (easy to do business with, reasonable cost, cost was appropriate compared to quality)?
 

What can we do to serve you better?

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Last Modified 9/19/2013