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HARMON AUTO GLASS / GLASS DOCTOR OF N.W. INDIANA

 
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Customer Satisfaction Survey

At Glass Doctor® we strive to deliver world class service to each and every customer. We always welcome feedback and comments, so please take a moment to fill out this simple survey to let us know how well we did.

Note: Mandatory fields are marked with an asterisk ( * ).

Contact Information

First Name: 
Last Name: 
E-mail: *   
Phone:  

Survey Questions

Date of Service:
Name of Technician:
Will you call us again for service?
How would you rate our office personnel?

  1. Professional
  2. Courteous
  3. Helpful
  4. Cheerful
  5. Informative
  6. Knowledgeable
How would you rate our technicians?

  1. Prompt
  2. Professional
  3. Courteous
  4. Cheerful
  5. Appearance
  6. Quality
  7. Work Area Cleaned
  8. Questions or comments concerning your experience with us may be entered below.


    
HARMON AUTO GLASS / GLASS DOCTOR OF N.W. INDIANA
608 Roosevelt Rd
Valparaiso, IN 46383
Phone: 219-462-1149
Fax: 219-464-7407

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