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* 1. This is a 

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* 2. About Which Service

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* 3. At which Site?

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* 4. When did we Provide the service?

Date
Time

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* 5. Please Provide your Name (Optional)

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* 6. Would you like us to contact you?

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* 7. Please write details of your feedback:

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* 8. Upload any pictures or documents? (optional)

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* 9. How likely is it that you would recommend Bennetts Petroleum to a friend or colleague?

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Extremely likely

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