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?
How efficient were the movers?
How satisfied were you with the job?
*The following questions are yes & no. All fields are optional.
Were the movers on time?
Yes No
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 customers?
Additional Comments or Suggestions
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211 NW 5th Ave. Hallandale, FL 33009