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Customer Comment Card
Comments or Suggestions?
Survey Item
Service Rating
1. Description of Item
5 4 3 2 1
2. Description of Item
5 4 3 2 1
3. Description of Item
5 4 3 2 1
4. Description of Item
5 4 3 2 1
5
Excellent
4
Very Good
3
Good
2
Fair
1
Poor
(Optional)
Customer Name:
Phone Number:
Customer Comment Card
Comments or Suggestions?
Survey Item
Service Rating
1. Description of Item
5 4 3 2 1
2. Description of Item
5 4 3 2 1
3. Description of Item
5 4 3 2 1
4. Description of Item
5 4 3 2 1
5
Excellent
4
Very Good
3
Good
2
Fair
1
Poor
(Optional)
Customer Name:
Phone Number:
