Customer Survey
Moving Company:
Order No :
E-mail :
First Name :
Last Name :
Origin City :
Origin State :
Choose One
AL
AZ
AR
CA
CO
CT
DE
FL
GA
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NM
NJ
NV
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Destination City :
Destination State :
Choose One
AL
AZ
AR
CA
CO
CT
DE
FL
GA
ID
IL
IN
IA
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NM
NJ
NV
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Type of Move
Intrastate (local) :
Interstate (long-distance) :
Commercial (office move) :
How did you hear about us
Phone Book :
Internet :
Referral :
Other :
Please rank our services
How was your initial contact with our Company?
1
2
3
4
5
How effective was your Sales Representative in providing you with your quote?
1
2
3
4
5
Was the initial estimate provided to you easy to understand?
1
2
3
4
5
How would you rank the professionalism of your Job Forman and crew on the day of your move?
1
2
3
4
5
Was the paperwork provided to you on the day of your pick up easy to understand?
1
2
3
4
5
Was the moving crew working in safe and efficient manner?
1
2
3
4
5
How well did our dispatch department communicate with you through out your move?
1
2
3
4
5
Were your phone calls returned by our dispatch department in a appropriate time frame?
1
2
3
4
5
On the delivery of your belongings did the crew work in a safe and efficient manner?
1
2
3
4
5
How would you rank your overall experience with Last Minute Movers?
1
2
3
4
5
Addtional Comments
Would you ever contact us to perform another move for your?
Choose One
Yes
Maybe
No
Would you refer anyone that may be moving to Last Minute Movers?
Choose One
Yes
Maybe
No
May we use your survey as a referral ?
Choose One
Yes
No
If you have any additional comments please use the space provided below