Your Repair Feedback Survey

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* 1. Work Order Number

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* 2. Brief description of repair

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* 3. Date the repair was completed

Date / Time

Date

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* 4. How satisfied were you with the repair which was carried out today?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 5. Please let us have any comments about your repair.