Client Survey Form

I wanted to thank you personally for submitting a feedback response below. These responses help us evaluate our current practices, improve on them, and provide better service to our clients. All of these entries deliver to me directly, and you will be contacted back if you choose so. Thank you again.
James P. Stanek, CIC
Chief Operations Officer
As your personal information is valued highly, we want to express our commitment to keeping this information safe and secure.  This is a secure form and all data that is submitted via this form is stored in a secure database.
 YesNo
Did our service meet your expectations?
0/255 characters
 ExcellentVery GoodGoodSatisfactoryPoor
How would you rate the level of service you received?
0/255 characters
 Very LikelyLikelyUnlikely
How likely are you to recommend us to colleagues, friends or family?
0/255 characters
0/255 characters
Would you like a follow up?  If so, how and when is best?