Customer Survey Name* First Last Date of Service Installation MM slash DD slash YYYY Service Address* Street Address Address Line 2 City ZIP / Postal Code What service did you have installed? (Check all that apply.)* Select All Residential Internet Residential Phone Residential Internet and Phone Business Internet Business Phone Business Internet and Phone How would you rate the installation process on a scale of 1 to 5?* 1 - Not at all satisfied 2 - Somewhat unsatisfied 3 - Neutral 4 - Somewhat satisfied 5 - Very satisfied Please explain the reason for your ranking.Is there anything we can do to improve our installation process?Would you like someone to contact you about your experience? Yes No Phone number or email address where we can contact you.*
