1) Please rate our service:
    the best could have been better not very good


2) Please rate our response time:
     fast average slow

3) Response type most often used:
     phone
     fax
      email

4) Will you continue to work with us in the future?
    yes
     no

5) Any suggestions/comments?
    

6) Full Name (optional):      

7) Title (optional):

8) Company (optional):

9) Yes, you have my permission to quote from my comments, and use these quotations in ads, mailers and other promotions used to market your services.
* if you would like your name and/or company included with your testimonial to use, you need to provide them in the optional boxes above.