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* 1. Name

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* 2. Facility location

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* 3. Date and Time

Date / Time

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* 4. Service Purchased?

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* 5. Were you comfortable in our facility?

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* 6. Was the car wash facility clean such as rest rooms, lobby, etc.?

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* 7. Was your service performed within an acceptable time frame?

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* 8. Overall quality and Value of Service

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* 9. Was the staff friendly and courteous

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