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    Please take the following survey to help us improve our business.
  
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1 Address
        Name
        
        Address
        
          City/Town
          
          ZIP/Postal Code
          
        Email Address
        
        Phone Number
        
2 When was the service performed?
        Date
        
3 How did you hear about our company?
        
4 Cleaning Technician’s Name
        
5 Compared to our competitors, are our service’s prices higher, lower, or about the same?
         A great deal higher
         Quite a bit higher
         Somewhat higher
         About the same
         Somewhat lower
         Quite a bit lower
         A great deal lower
         Don’t know
      
6 How likely is it that you would recommend us to a friend or colleague?
        0
        1
        2
        3
        4
        5
        6
        7
        8
        9
        10
      
        Not at all likely
        Extremely likely
      
      7 Evaluate the following statements
      
            Yes
            No
          
            Did Carpet Care Cleaners show up on time?
            
            Was the cleaning technician friendly and professional?
            
            Was the cleaning technician respectful of you and your belongings?
            
            Were you delighted by how well the job turned out?
            
            Was the final price exactly what was quoted?
            
            Did the carpets dry as fast as you were told?
            
8 How long did it take for your carpets to dry?
        Hours
        
        Details
        
9 Do you have any other comments, questions, or concerns?
        
    Thank you for helping us improve!