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Surveys
2011
September
B
Business Clients
Business Clients
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Overall, are you satisfied with your transaction with us? Please consider the quality of our work, our ability to meet your needs and the value of our services and products (what you received for the price you paid).
Yes
No - Please explain why:
Would you recommend us and/or will you consider doing business with us in the future?
Yes
No - Please explain why:
Any other comments/suggestions? Please let us know what we did well and what we can improve on?
Your Information:
Providing us with this information is optional (unless you request to be contacted), but it will allow us to better understand your responses. We won't contact you unless you about this survey unless you give us permission.
First Name
:
Last Name
:
Address 1
:
Address 2
:
City
:
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zip
:
Phone
:
Email Address
:
Please select as applicable:
Yes
No
I would like to be contacted about our experience.
You may contact me if you have any questions about my responses.
Finally, how did you find out about us?
-- Select --
Referral from someone I know.
Search engine (Google, Bing, Yahoo, etc.)
PennLive
Online phone directory (Yellowpages.com, Superpages.com, etc.)
Craigslist
Don't Know
Other
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