Keep Us On Our Toes Exp1
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We always appreciate your comments on our performance.

4 = Excellent
3 = Very Good
2 = Fair
1 = Poor

Dusting

Dusting 4

3

2

1

Floors

Floors 4

3

2

1

Bathrooms

Bathrooms 4

3

2

1

Kitchen

Kitchen 4

3

2

1

Overall

Overall 4

3

2

1

*
Client Information

Client Information Name:
Email Address:
Phone Number:

Please explain any score of 1 or 2.

Please explain any score of 1 or 2.

Notes/Reminders

Notes/Reminders

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