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Automotive Customer Survey

1). How would you describe your visit to our facility?
Excellent
Good
Fair
Poor


2). Were you satisfied with the service received?
Yes
No


3). Was our staff friendly, efficient and knowledgeable?
Yes
No


4). Was the time estimate given for your work request accurate?
Yes
No


5). If additional work was necessary, were you consulted first?
Yes
No


6). Did you find our facility to be neat and clean?
Yes
No


7). Have you visited our facility in the past?
Yes
No


8). Would you visit our facility again in the future?
Yes
No


9). What is your main reason for visiting our Web site?
Specials
Tire Research/Purchase
Driving Directions
Services
Phone/Fax Numbers


10). If you could change one thing about this auto center, what would it be?


11). Do you have any other comments/suggestions?


12). Location Visited:


*The following information is optional.

First Name: Last Name:
Address:
City: State/Province: ZIP/Postal Code:
**Phone:
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**E-mail: