Footework Customer Satisfaction Survey

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Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Rate your overall experience with Footework:

Rate your overall experience with Footework: Excellent Good Fair Poor
Do you feel Footework accomplished all your needs in a pleasant, thorough, and timely manner?

Do you feel Footework accomplished all your needs in a pleasant, thorough, and timely manner? Yes No
If no, please explain

Please answer the following questions:
Please answer the following questions:	Great	Good	Average	Below Average	Poor
Helpfulness of Staff	Great	Good	Average	Below Average	Poor
Value of Service	Great	Good	Average	Below Average	Poor
Questions Answered	Great	Good	Average	Below Average	Poor

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Used for internal Footework database only. Not used for external marketing or solicitation