ReliableReferrals.net - Homeowner Referral Service

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Homeowner Survey
Please complete the form below to help us maintain the highest quality service.
Your Name:
E-mail address:
Phone:
Contractor/Service Professional Name:

Job Performed:
Date the job was performed:

1.	Please rate the overall work: Excellent Good Fair Poor Comments:
2.	Did the contractor / service professional accomplish the job within the expected time frame? Yes No Comments:
3.	Did the contractor / service professional arrive on time? Yes No Comments:
4.	Was the contractor / service professional neat? Yes No Comments:
5.	Did you have any problems with the contractor / service professional? Yes No Comments:
6.	Did you find the contractor / service professional's pricing to be fair? Yes No Comments:
7.	Would you use this contractor / service professional again? Yes No Comments:
8.	Would you use our service again? Yes No Comments:
9.	What was the total cost of the job performed?
10.	Please list any suggestions for us to serve you and others better: :

Serving the Greater La Crosse Area and surrounding communities

Reliable Referrals, LLC • Phone: 608-781-3340 • Cell: 608-386-1311 • Fax: 608-781-5153 • info@reliablereferrals.net