* 1. How satisfied are you with the quality of maintenance provided?

* 2. How satisfied are you with the promptness of maintenance?

* 3. How satisfied are you with the communication with our staff?

* 4. Please explain the reason for your rating:

* 5. Date of maintenance completed:

* 6. Name of Regency technician or vendor: 

* 7. What work was completed in your home?

* 8. Address

* 9.
Do we have your permission to publish your feedback?

* 10.
Would you like to leave any additional comments?

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