Century A/C General Feedback

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* 1. Please enter your contact information if you would like a follow up phone call or email about your experience.

Name:

Company:

Email Address:

Phone Number:

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* 2. Please select the branch where you received service.

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* 3. Please tell us how we are doing in the following areas:

	Poor	Fair	Average	Good	Exceptional	N/A
Customer Service	Customer Service Poor	Customer Service Fair	Customer Service Average	Customer Service Good	Customer Service Exceptional	Customer Service N/A
Credit Department	Credit Department Poor	Credit Department Fair	Credit Department Average	Credit Department Good	Credit Department Exceptional	Credit Department N/A
Delivery	Delivery Poor	Delivery Fair	Delivery Average	Delivery Good	Delivery Exceptional	Delivery N/A
Knowledgeable Employees	Knowledgeable Employees Poor	Knowledgeable Employees Fair	Knowledgeable Employees Average	Knowledgeable Employees Good	Knowledgeable Employees Exceptional	Knowledgeable Employees N/A
Product Selection	Product Selection Poor	Product Selection Fair	Product Selection Average	Product Selection Good	Product Selection Exceptional	Product Selection N/A
Product Availability	Product Availability Poor	Product Availability Fair	Product Availability Average	Product Availability Good	Product Availability Exceptional	Product Availability N/A
Training	Training Poor	Training Fair	Training Average	Training Good	Training Exceptional	Training N/A
Warranty	Warranty Poor	Warranty Fair	Warranty Average	Warranty Good	Warranty Exceptional	Warranty N/A
Website	Website Poor	Website Fair	Website Average	Website Good	Website Exceptional	Website N/A

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* 4. Have a glowing review you'd like to share? Or do you have a recommendation for something we can improve? Tell us what's on your mind. We're all ears.