Technician's Name

Location of Service Performed
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Would you use U.S.H.A.C. again? Yes No Maybe

Service performed: Excellent Good Average Below Average Poor

Timeliness of service: Excellent Good Average Below Average Poor

Quality of service: Excellent Good Average Below Average Poor

Budget available for service: High Medium Low

Value of service received: Excellent Fair Inadequate

Cleanliness of service area: Very Clean Somewhat Clean Not Clean At All

Technician's demeanor: Very Courteous Somewhat Courteous Discourteous

Phone rep's demeanor: Very Courteous Somewhat Courteous Discourteous

Overall communication level: Excellent Fair Poor

Technician's appearance: Professional Less Than Professional Unprofessional

How did you hear about U.S.H.A.C.? Yellow Pages Newspaper Ad Radio Ad Coupon Saw Our Truck Referral Repeat Customer Other

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