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| Please complete the form below to provide |
| feedback on products and services received from |
| Builder's Concrete & Supply Co., Inc. |
| |
| 5=Very Satisfied 4=Satisfied 3=Just OK 2=Dissatisfied 1=Very Dissatisfied |
| |
| Overall how satisfied are you with: |
| Drivers are professional and courteous? |
|
5 |
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4 |
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3 |
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2 |
|
1 |
| Drivers perform in a safe manner? |
|
5 |
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4 |
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3 |
|
2 |
|
1 |
| Driver's performance? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Dispatchers are professional and courteous? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Dispatcher's performance? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Salesman's performance? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Quality? |
|
5 |
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4 |
|
3 |
|
2 |
|
1 |
| Billing Department's performance? |
|
5 |
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4 |
|
3 |
|
2 |
|
1 |
| Concrete Store hours? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Items for sale? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Builder's Concrete? |
|
5 |
|
4 |
|
3 |
|
2 |
|
1 |
| Would you like for us to respond to your survey? |
|
Yes |
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No |
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| Are there any additional items you would like us to stock in the Concrete Store? |
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| What you Most Like about doing business with us? |
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| What you Least Like about doing business with us? |
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| What is the Most Important Improvement you would like us to make? |
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| Additional Comments: |
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| If you prefer to remain anonymous, leave the following fields blank. |
| If blank, we will be unable to respond to your survey. |
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| Name: |
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| Email: |
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| Phone: |
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| Business Name: |
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