Fields with Asterisk ( * ) are required.
Date of Move
Full Name *
Email Address *
*Please rate each question, 1 being not very
& 5 being very
How helpful were the salespeople during the information
exchange before your move with us?
1 - Not Very 2 3 4
5 - Very
How friendly were the salespeople when you called our
office or when we visited your home before the move?
How courteous were the movers?
1 - Not Very 2
3 4 5 - Very
How efficient were the movers?
How satisfied were you with the job?
*The following questions are yes & no. All fields
Were the movers on time?
Would you use our company in the future?
Would you recommend us to a friend?
Can we use your name as a reference for prospective
Additional Comments or Suggestions
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211 NW 5th Ave. Hallandale, FL 33009