| Salutation: |
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| Name: |
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| E-mail: |
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| Date of Service: |
Month
Day
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| How would you rate the quality and value of the services or repairs completed? |
Exellent
Average
Fair
Poor |
| How would you rate the Communication of the service and repairs needed? |
Exellent
Average
Fair
Poor |
| Were our staff members courteous,efficient,and knowledgeable? |
Yes
No |
| Do you feel that you have full understanding of the service, and repairs needed? |
Yes
No |
| Please provide additional comments with name and/or Repair Order number: . |
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| How would you rate your interaction with your service advisor? |
Exellent
Average
Fair
Poor |
| Please provide us with your views reguarding our quality and workmanship: |
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| Do you feel that you received value for your services? |
Yes
No |
| How did you first learn about Motor World? |
Friend
Mail
Internet
Business Referral
Radio/TV
Yellow Pages
Coupon Book
Newspaper
Location |
| Would you like to be notified by telephone for future services/repairs from your service consultant? |
Yes
No |
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Thank you for taking the time to help us improve the services Motor World offers!
We look forward to serving you soon! |
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