All Insurance Accepted
Pick Up and Delivery
Foreign and Domestic

Your Collision Center.
1234 Repair Dr, YourTown, USA
(888) 555-1212 - M-F 8-5 + Sat 8-Noon

Comments

Based on your visit to our shop, how satisfied were you with the following items?

On a scale of 1 to 5 with 5 being the best, please rate our shop.

1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
Yes No
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Yes No
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Why Your Comments are Important

Your comments are important for three good reasons:


•  Customer Loyalty:
We want to earn your loyalty so we need to know what is important to you.  We know that if you are satisfied you will refer us to others. 


•  Customer satisfaction:
Satisfied customers are makes for customer loyalty.  We need to know your satisfaction level so we can make appropriate adjustments for you and other future customers. Your satisfaction is our priority.


•  Effective Communication:
This survey allow us to have feedback on our performance.  It allows us to make adjustments and to communicate with you on progress we are making to increase customer satisfaction.

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