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About You...

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Name

*First	*Last

*Address

City/State/Zip

*City	*State	*Zip

*Telephone

*E-mail Address

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Full Name
Telephone
E-Mail Address:

Purpose of Visit...

Which of the following best describes the purpose of your dealer's visit:

		Sales/Installation
		Service/Repair

Your Experience...

	Very Dissatisfied					Very Satisfied
	1	2	3	4	5	6	7	8	9	10
Promptness of dealer personnel
Professional appearance (personnel/vehicles/etc.)
Courtesy and friendliness
Took time to understand my needs
Knowledgeable
Kept my home neat and clean
Explained operation and maintenance of system
Explained equipment and labor warranties
Completed the work in a timely manner
Resolved any issues to my satisfaction
Overall Satisfaction

	Definitely Would Not					Definitely Would
	1	2	3	4	5	6	7	8	9	10
How likely would you be to recommend our products to a friend or colleague?
How likely are you to recommend this dealer to a friend or colleague?

Are you interested in a service and/or a maintenance agreement?

		Yes
		No
		Already have

Please share any additional comments or describe in your own words your overall experience (for example, what you thought the dealer did exceptionally well, or what could have been better).