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Customer Satisfaction Survey
Enter a brief Testimonial regarding your experience with Mohr :



1. What influenced your decision to choose this company?


2. Was the service representative prompt?

Yes    No

Courteous?

Yes   No

If not, please explain
3. Were you satisfied with the quality of your service or product?

Yes   No

Comments
4. Would you recommend this company to someone else?

Yes   No
5. We request your permission to use your first name only for promotional purposes of Mohr.

Yes   No
Date :
Your Name :  
Address :  
Phone Number :
Fax :
Email :  
 


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