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

* 2. Did Palmetto State Utility Services resolve the item you reported?

* 3. How responsive were the Palmetto State Utility Services representatives?

* 4. How courteous were the Palmetto State Utility Services representatives?

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

* 6. Did Palmetto State Utility Services leave the worksite in acceptable condition?

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

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

* 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:

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

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