Customer Satisfaction Survey
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1
. Based on your experience with Hometown Comfort, how likely are you to use us again?
Definitely
Very likely
Probably
Not likely
Not a chance
Answer
*
Based on your experience with Hometown Comfort, how likely are you to use us again? Answer Definitely
Answer Very likely
Answer Probably
Answer Not likely
Answer Not a chance
2
. Based on your experience with Hometown Comfort, how likely are you to refer our company?
Definitely
Very likely
Probably
Not likely
Not a chance
Answer
*
Based on your experience with Hometown Comfort, how likely are you to refer our company? Answer Definitely
Answer Very likely
Answer Probably
Answer Not likely
Answer Not a chance
3
. What services or products can Hometown Comfort offer to make your life easier?
What services or products can Hometown Comfort offer to make your life easier?
4
. Comments:
Comments:
5
. Optional information
Optional information
Name:
Address:
City/Town:
State:
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
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GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
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OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
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SD South Dakota
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UT Utah
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