6605 Selnick Drive | Suite A | Elkridge,  Maryland  21075 | E-mail: vicky@federlineUSA.com 
Phone: 410-379-9102 | Call: 800-697-1671 | Fax: 410-379-9106

Bold = Required field
Date
Order Number
Company Name
Customer Name
Phone Number
Crew Member(s):
Adminsitrator was helpful and courteous when you called
5
4
3
2
1
Displayed professionalism and good attitude.
5
4
3
2
1
0
0
Offered information recommendations.
5
4
3
2
1
0
0
1
2
3
4
5
Provided status/progress reports.
0
1
2
3
4
5
Product cleaned and repaired.
0
1
2
3
4
5
Furniture placed as directed.
Service was prompt and efficient.

5
4
3
2
1
0
Workers knowledgeable of duties.

5
4
3
2
1
0
Overall quality of service you received from Paul F. Federline & Sons.
5
4
3
2
1
0
Service Follow-up needed.
Yes
No
Comments
653

Performance Questionnaire
Please take a few minutes to complete the quesionnaire; your comments will let us measure our service and tell us how to better serve YOU!
Based on your equipments and expectations, please evaluate the various aspects of performance on you request from Federline using the following scale:
5-Very Satisfied  4-Satisfied  3-Dissatisfied  2-Very Dissatisfied  1-Not Sure  0-Not Applicable
Electronic Signature *
By selecting the check box, you agree that the information submitted is true and accurate to you rknowledge. Thank you.

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