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Home Delivery Survey

TO OUR VALUED CUSTOMER: Please complete this form for the crew members. We strive for 100% satisfied customers! Customer opinions are of great value to our service process and play a valuable role to improving our quality and professionalism.

  1. Required Were the van operator and crew members in Brouwer Relocation identified apparel?

  2. Required Please rate the representative who coordinated the delivery or pick up of your product or shipment. Satisfied (5) or Dissatisfied (1)

  3. Required Did the van operator and crew members arrive during the established delivery time frame?

  4. Required Did the van operator call you prior to delivery?

  5. Required On a scale of (1) Dissatisfied through (5) Satisfied, please rate your overall satisfaction with the crew members who handled your pick up or delivery.

  6. Required On a scale of (1) Dissatisfied through (5) Satisfied, please rate your overall satisfaction with the van operator who handled your pick up or delivery.

  7. Required If there was an issue with your experience with Brouwer Relocation, which specific categories do you think we could improve?

  8. Please take a moment to write a review about your experience with our company. Required

  9. What is your full name?

  10. What is your email address?

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