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* 1. What is your first & last name?

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* 2. What is your email?

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* 3. Employee Attitude

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* 4. Floors (Mopping/Vacuuming/Sweeping)

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* 5. Dusting

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* 6. Bathrooms

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* 7. Kitchen

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* 8. Overall Quality

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* 9. Would you recommend Clean Time to your friends/family?

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* 10. Suggestions/Comments

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