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1. Date (Required.)

Date

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2. What is the name of the contractor servicing your scheme

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3. What is your name?

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4. What Is your address or name of your scheme? (Required.)

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5. What Is your post code? (Required.)

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6. Did the gardener attend the last scheduled visit? (Required.)

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7. Please rate the service provided by the gardeners:
1 = Very Poor 2 = Poor  3 = Good  4 = Very Good

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