1.) Our Phone Representative
1	2	3	4	5
2.) How the work was performed
1	2	3	4	5
3.) Our employee's appearance
1	2	3	4	5
4.) Our employee's attitude
1	2	3	4	5

- Did our employee(s) protect your flooring from tools, etc. with our RED CARPET TREATMENT ?
Yes No

- Did our employee(s) wear protective shoe coverings?
Yes No

- The service charge was:
Please Choose One - Less than expected - About right - More than expected

- Would you use us again?
Yes No

- Would you refer us to a friend?
Yes No

* Your Full Name:


* Your Phone Number:


Your E-mail:

(We protect your privacy, and we will not sell or give away any of our customer's information)

Confirm E-mail:


Technician's Name:


* Invoice Number: (located in red on your invoice)


Additional Remarks:


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