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Customer Feedback Form: Please Circle How Well Our Services Are: 5 4 3 2 1 0 Waiting
Customer Feedback Form: Please Circle How Well Our Services Are: 5 4 3 2 1 0 Waiting
Customer Feedback Form: Please Circle How Well Our Services Are: 5 4 3 2 1 0 Waiting
Date: ____________________
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs. Your
responses are directly responsible for improving these services. Thank you for your time.
Good
4
Ok
3
Fair
2
Poor
1
Not Sure
0
Yes
No
QA0 01/181012
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