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* 1. Please rate the following areas of cleaning in your home.

  Poor Fair Good Excellent
Kitchen
Bathrooms
Floors
Dusting
Vacuuming

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* 2. Did you have any specific requests for this recent cleaning?

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* 3. If you answered yes to question 2, was the request fulfilled?

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* 4. Do you have any specific requests or concerns that you would like addressed during our next visit?

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* 5. Do you enjoy the scent of the products?

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* 6. Please rate the following in regards to the cleaning professional that visited today.

  Excellent Good Fair Poor NA
Interactions with you were professional
Their presence in your home was peaceful
The only evidence left behind was a clean, sparkling home
They used their time efficiently and effectively
interactions with co-workers were professional

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* 7. We enjoy working with you and wish to continue to meet all your needs.  If you have any comments, requests or concerns, please take a moment to let us know.  Thank you for your time in this matter!

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* 8. To keep our records up to date please answer the following:

T