Propane Customer Survey

1. Please rate the overall quality of service you received: (required)
SuperiorVery SatisfactoryAbout AverageSomewhat UnsatisfactoryVery Poor

Additional Comments:

2. The customer service/sales representative was very knowledgeable and helpful: (required)
Strongly AgreeSomewhat AgreeNeutralSomewhat DisagreeStrongly Disagree

Additional Comments:

3. Was your Service Technician knowledgeable? (required)YesNo

4. Was your Service Technician informative? (required)YesNo

5. Was your Service Technician prompt and efficient? (required)YesNo

Additional Comments:

6. How satisfied are you with the timeliness of your installation? (required)
Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied

Additional Comments:

7. How satisfied are you with the quality of our installation: (required)
Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied

Additional Comments:

8. Will you refer family and friends to Quality Propane? (required)YesNo

9. Do you have someone you would specifically like us to contact? You will receive up to 50 free gallons of propane for every referral that becomes a Quality Propane Customer. (required)YesNo

Name

If yes, provide the name of the person we should contact

Phone

If yes, provide the phone number of the person we should contact

10. May we use your comments on our website? YesNo

If Yes, may we use your name?YesNo

Your Name:

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