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Customer First Name
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Origin City
Origin State
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Destination City
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CA
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DE
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ID
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KS
KY
LA
MA
MD
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NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
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Type of Move
Intrastate (local)
Interstate (long-distance)
Commercial (office move)
How did you hear about us
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Please rank our services from 1 to 5 with 1 being the worst and 5 being the best.
1. How was your initial contact with our Company?
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5
2. How effective was your Sales Representative in providing you with your quote?
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5
3. Was the initial estimate provided to you easy to understand?
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2
3
4
5
4. How would you rank the professionalism of your Job Forman and crew on the day of your move?
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2
3
4
5
5. Was the paperwork provided to you on the day of your pick up easy to understand?
1
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5
6. Was the moving crew working in safe and efficient manner?
1
2
3
4
5
7. How well did our dispatch department communicate with you through out your move?
1
2
3
4
5
8. Were your phone calls returned by our dispatch department in a appropriate time frame?
1
2
3
4
5
9. On the delivery of your belongings did the crew work in a safe and efficient manner?
1
2
3
4
5
10. How would you rank your overall experience with Mashave Relocation Systems?
1
2
3
4
5
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 Mashave?
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Yes
Maybe
No
May we use your survey as a referral ?
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Yes
No
If you have any additional comments please use the space provided below
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Full Name
Phone Number
Email Address
Moving Zip Code
Moving to Zip Code
Date of Move
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
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20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2010
2011
2012
2013
2014
2015
Volume
Select weight of move
Studio
Partial Home
One bedroom
Two bedrooms
Three bedrooms
Four bedrooms
Five bedrooms
Six bedrooms and more
Office Move
Move from Maryland
Move from Delaware
Move from Virginia
Move from Pennsylvania
ICC # MC673386
US DOT # 1861735