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Date of Service: Technician Name: Customer Name: Customer Phone:   Customer Cell:     Customer Email:   Nature of Repair: Was there a set time for our technician to be there? Yes No If the technician was late was a call placed to let you know? Yes No Did the technician listen to what you said the problem was Yes No Did the technician explain what needed to be repaired/replaced? Yes No Did he give you options for repair/replacements? Yes No Was the service technician friendly? Yes No Was the service technician polite and helpful? Yes No Was the service technician neat in appearance? Yes No Did the service technician wear shoe covers? Yes No Did the service technician clean up when job was complete? Yes No Were your plumbing repairs made to your satisfaction? Yes No When needing plumbing services, how do you decide who to call? Yellow pages First Person To Answer Phone Radio Newspaper Friend Truck or Logo Same plumber as in the past When is the best time for a service call repair to be done for you? Morning 8-12 Afternoon 1-5 Evening 5-9 Saturday Would you recommend our plumbing sevices? Yes No To keep us heading in the right direction, how you rate our service? Very Good Satisfactory Needs Improvement     Enter code from box at the right: Remarks/Explanations Of Answers Above:

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