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Customer Satisfaction Survey - Solution Electronics Cleaning
15937
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Customer Satisfaction Survey
Thank you for taking the time to give us the feedback we need to provide the best service possible. We appreciate it!
First Name
Last Name
Primary Phone Number
Alternate Phone Number
Are you the property owner?
Yes
No
Company
Email Address
Address of Damaged Property #1
Address of Damaged Property #2
City
State
State / Province / Region
Zip
How did you hear about SEC?
Insurance Company
Previous Client
Advertisement
Realtor
Friend
Internet Search
Other
Date of Loss
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Loss Type
Water
Fire
Mold
Hail
Tornado
Hurricane
Earthquake
Other
Loss Location Type
- None -
Residential
Commercial
Industrial
Other
Name of Insurance Carrier
Insurance Claim Number
Please Rate - Response To Your Emergency
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Ability To Meet Deadlines
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Quality of Our Work
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Performance of Our Employees
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Knowledge of Our Employees
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Appearance of Our Employees
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Courtesy of Our Employees
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Our Communication Skills
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Our Contribution To Your Recovery
Excellent
Very Good
Good
Satisfactory
Poor
Please Rate - Overall Service You Received
Excellent
Very Good
Good
Satisfactory
Poor
Tell Us How We Exceeded Your Expectations
How Can We Improve Our Service?
Would You Recommend SEC To Others?
Yes
No
May We Use You As A Reference?
Yes
No
Additional Comments
THANK YOU!
