1

Was your wait time reasonable?

Was your wait time reasonable?

1 - Very Unsatisfied

2 - Unsatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

2

Was the staff friendly, attentive & knowledgeable?

Was the staff friendly, attentive & knowledgeable?

1 - Very Unsatisfied

2 - Unsatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

3

Was the staff responsive in handling your business?

Was the staff responsive in handling your business?

1 - Very Unsatisfied

2 - Unsatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

4

Was your business handled in a professional manner?

Was your business handled in a professional manner?

1 - Very Unsatisfied

2 - Unsatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

5

Additional comments:

Additional comments:

6

Name:

Name:

7

Phone Number:

Phone Number:ext.

8

Email:

Email:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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