Customer Survey
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1. Thank you for taking the time to complete the following questions concerning your experience:
1
. Location serviced from: (check one)
Location serviced from: (check one)
Alliance
Ashland
Columbus
Cincinnati
Dayton
Dover
Lima
Marion
Martins Ferry
OSU
Shelbyville
Springfield
Unknown
2
. Overall, I would say the service was: (check one)
Overall, I would say the service was: (check one)
Excellent
Good
Average
Could be better
Horrible
3
. What can we do to improve?
What can we do to improve?
4
. What did you like most about your experience with our company?
What did you like most about your experience with our company?
5
. Is there anything we could do to improve your safety and/or help to lessen discomfort you may have?
Is there anything we could do to improve your safety and/or help to lessen discomfort you may have?
No
Yes
If yes, please explain:
6
. Optional information:
Name, Address & Phone #:
Optional information: Name, Address & Phone #:
7
. Would you like a follow-up letter or phone call to address any question(s) or concern(s)?
Would you like a follow-up letter or phone call to address any question(s) or concern(s)?
Yes
No
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