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Customer Survey

Feel free to drop in, or call us if you have any questions.
 
And as always, Thank You for your business!!
  Please complete the form below. We will respond promptly by telephone or email (if necessary).
Note: We will NEVER distribute your personal information to any third party, it will remain confidential.
 
We look forward to serving all of your automotive service needs!
*Indicates Required Fields
 
1. How would you rate this auto center? Excellent Good Fair Poor
 
2. Were you satisfied with the repair work? Yes No
 
3. Were the personnel courteous, efficient, and knowledgeable? Yes No
 
4. Was the estimate for work performed accurate or if additional work was necessary, were you consulted? Yes No
 
5. Were the facilities clean and neat? Yes No
 
6. Was your vehicle ready on time? Yes No
 
7. Have you used this service or repair center before? Yes No
 
8. Would you return to this shop again? Yes No
 
9. If you could change one thing about this auto center, what would it be:

 
10. Any other positive or negative comments you might have:

 
*Address of Location visited:
 
Date of Visit :
 
*Name: Address:
*City:    *State:    *Zip:
Phone: *Email:

Note: We will NEVER distribute your personal information to any third party, it will remain confidential. This is a private list and will not be sold, or used by anyone outside Nebraskaland, Kansasland, Coloradoland Tire Group.