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Survey Man

“Golden West Coach” Collision Center would appreciate your assisting us by providing the following information. Click on the “Submit Survey” button below and “Survey Man” will get it to us faster than a speeding ticket! (Note: This information is for internal use only.)

Were you attended promptly?
 

 

yes
 

 

no
 

 

Who assisted you?
 

 

(Name if known)
 

Was he/she at all times:
 

* professional?
 

yes
 

 

no
 

 

 

* courteous?
 

yes
 

 

no
 

 

 

* informative?
 

yes
 

 

no
 

 

Please indicate any suggestions/recommendation you may have, if any.

YOUR NAME:
 

YOUR ESTIMATE #:
 

 

YOUR DAYTIME PHONE #:
 

 

YOUR EMAIL ADDRESS:
 

 

Thank you for taking time to assist us with our “survey”.
Ruben Paz - President
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