Name:       Email:        Order #:
	Using a rating scale of 1 to 10, please rate your level of satisfaction with each of the areas. (assuming 1 is poor and 10 is excellent.)
1.	Pre-Move (sales/estimating)
	Professionalism of moving consultant 1 2 3 4 5 6 7 8 9 10 Explanation of services provided 1 2 3 4 5 6 7 8 9 10 Speedy response to your questions 1 2 3 4 5 6 7 8 9 10
2.	Packing Services (if purchased)
	On time arrival 1 2 3 4 5 6 7 8 9 10 Appearance of packing crew 1 2 3 4 5 6 7 8 9 10 Care taken in packing your belongings 1 2 3 4 5 6 7 8 9 10
3.	Loading Services
	On time arrival = 1 = 2 = 3 = 4 = 5 = 6 = 7 = 8 = 9 = 10 1 2 3 4 5 6 7 8 9 10 Appearance of loading crew 1 2 3 4 5 6 7 8 9 10 Care taken in handling your belongings 1 2 3 4 5 6 7 8 9 10
4.	Delivery Services
	On time arrival 1 2 3 4 5 6 7 8 9 10 Appearance of delivery crew 1 2 3 4 5 6 7 8 9 10 Care taken in handling your belongings 1 2 3 4 5 6 7 8 9 10 Estimated versus actual charges 1 2 3 4 5 6 7 8 9 10 Quick resolution of any problems 1 2 3 4 5 6 7 8 9 10
5.	All things considered, would you choose again?        Positively Not Probably Not Undecided Probably Positively
6.	Is there any particular reason that you would or would not choose again?
7.	Do you have any comments that can help serve you better?
8.	Enter the numbers you see in the image below: