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Customer Satisfaction Survey

Please provide the following information to submit your survey. Responses may be shared with contractor.

Contractor's Full Name: *     Homeowner's First Name: * Homeowner's Last Name: * Company Name: Address: * City: * State: Choose One AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY * Zip: *  United States of America Phone: * Date of Work Performed: Email Address: *   Briefly describe the type of work performed by the contractor: Were you satisfied with the work performed? Comment: Yes No Did the contractor accomplish what he set out to do in a timely manor? Comment: Yes No Was the contractor on time? Did he call if arriving late for a scheduled appointment with you? Comment: Yes No Was he neat? Comment: Yes No Have you had any problems with his work? If so, did he come back to finish the job to your satisfaction? Comment: Yes No Did you find his pricing to be fair? Comment: Yes No Would you use him again? Comment: Yes No Additional Comments:     Homeowner's Initial *   Your initial is considered an authorized electronic signature for approval.