Customer Survey

First Name: *

Last Name: *

Street Address:

Suite, Unit, Apt:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Email Address: *

When you contacted The Gas Connection for service was your call handled courteously, efficiently and professionally? Select 1-strongly disagree 2 3 4 5-strongly agree

Did the technician arrive when promised? Select 1-strongly disagree 2 3 4 5-strongly agree

Was the technician neat and clean? Select 1-strongly disagree 2 3 4 5-strongly agree

Did the technician answer your questions to your satisfaction? Select 1-strongly disagree 2 3 4 5-strongly agree

Was the work performed to your satisfaction? Select 1-strongly disagree 2 3 4 5-strongly agree

Was the price fair for the value received? Select 1-strongly disagree 2 3 4 5-strongly agree

Will you use The Gas Connection again for service? Select 1-strongly disagree 2 3 4 5-strongly agree

Would you recommend The Gas Connection to a friend or neighbor? Select 1-strongly disagree 2 3 4 5-strongly agree

Can we post your comments on our site? Select Yes No

Would you like to receive our newsletter? Select Yes No

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