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Customer Satisfaction Survey

We're always looking for ways to improve our services. Please take a moment to rate your experience with HMS.

Customer name:
Customer email address:
Date of service:	< July 2010 > Sun Mon Tue Wed Thu Fri Sat 27 28 29 30 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 1 2 3 4 5 6 7
Please rate the following:	Excellent Good Fair Poor Unacceptable
Bid Process
Courtesy/Professionalism
Responsiveness to Special Requests
Responsiveness to Problems
Kitchen Cleanliness
Bathroom Cleanliness
Dusting and Floors
Overall Service Quality
Concerns, Comments or Compliments:
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