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Customer Survey
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Name :
Company name :
Phone Number :
Email :
Job site location or address :
Job site city :
State :
- State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Are you an Existing Customer or a New Customer?
Existing Customer
New Customer
How did you hear about NATIONAL?
Referral
Direct Mail
Magazine Ad
Product Sign
Yellow Pages
Blue Book
Web Site
Other
What industry is your company in?
Commercial Building
Residential Building
General Contracting
Special Events
Other
How do you prefer to receive your quote?
Telephone
Fax
Email
Which product line(s) are you using?
Rent-A-Fence
Portable Restrooms
Mobile Storage Containers
Temporary Power
NATIONAL's Customer Service Reps do an excellent job in resolving issues, complaints, or problems within a 24 hour time period.
Disagree
Uncertain
Agree
On a scale of 1 to 10, please rate your overall satisfaction level with our company (1=Very Dissatisfied; 10=Very Satisfied):
1
2
3
4
5
6
7
8
9
10
Will you use NATIONAL's products and services again for your portable service needs?
Yes
No
Maybe
What can we do to better serve your needs?
Do you want to be removed from our email list?
No, I do not want to be removed from your mailing list at this time.
Yes, please remove my name from your mailing list.