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Customer Feedback E-mail Form (How Did We Do?)

NOTE: Fields with an * are required.

* First Name    
* Last Name    

Rate us on the following items: Excellent Good Fair Poor
* Timely Manner of Service
* Overall Quality of Work
* Value for Work Done
* Technician’s Neatness/Cleanliness
* Courteousness of Technician
* Courteousness of Office Personnel

* Where did you hear about us?

 

* Would you call our company again? Yes No Not Sure
General Comments
(Praises, Problems, etc. — We really want to know)

 

Referrals: Please list the names & phone numbers of neighbors, friends, and relatives that may be interested in our services.
First Name
Last Name
Phone Number
First Name
Last Name
Phone Number

 

 
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