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* 1. Please provide the location of the issue reported. (street address and/or cross streets)

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* 2. Did Old North Utility Services resolve the issue you reported?

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* 3. How responsive were the Old North Utility Services representatives?

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* 4. How courteous were the Old North Utility Services representatives?

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* 5. Did the Old North Utility Services representatives communicate/update you regarding the work being performed?

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* 6. Did Old North Utility Services leave the worksite in acceptable condition?

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* 7. Are there any other related comments you would like to share?

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* 8. If you would like a member of the management team to contact you, please provide your contact information below.

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* 9. In appreciation for completing our customer survey, and to support the men and women of our military, a $5.00 donation to the Special Operations Warrior Foundation will be made according to your selections below:

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* 10. If you would like to receive notification of the donation, please provide the following:

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