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Primaisla Customer Feedback
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Date
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MM
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DD
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YYYY
Asset or Unit #
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Was this a previous repair?
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No
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Were all requested repairs/services performed?
Yes
No
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If no, please explain.
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How many days was the vehicle in the shop for repairs?
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Was the vehicle returned in the same state of cleanliness as when it entered the facility?
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No
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Were you treated courteously by the staff?
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Please rate the quality of the service received:
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Good
Average
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Comments & Suggestions
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Customer Name
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Department
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