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| All fields marked with a '*' are required. |
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| Promptness of Employee |
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| Quality of Employee Appearance |
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| Roofing Expertise of Salesperson |
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| Trustworthiness of Salesperson |
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| Quality of our Roofing Work |
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| Quality of Roofing Materials Used |
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| Professionalism of Installation Crew |
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| Responsiveness of Employees |
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| Level of Personalized Service |
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| Cleanliness During & After Installation |
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| Satisfaction with Current Condition of Roof |
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| Satisfaction with the Value of the Purchase |
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| Intent to Refer Others to our Company |
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| Interest in Other Roofing Services |
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| Overall Satisfaction with our service |
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| Name |
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| Phone Number |
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| * Email Address |
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| * Comments or suggestions for improvement |
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| How did you hear about us? |
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 Incorrect  Please complete the required fields above  Correct
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