What kind of comment would you like to send? Suggestion Praise Problem Complaint I am here for the free coupon offer

What about us do you want to comment on? Service Shop Employee Web Site Products (Other) Other:

Enter your comments in the space provided below:

1. Where did you hear about us from?                       Friend or Family TV Radio Web Yellowpages Insurance Company

2. Have you seen our TV commercials?                  Yes No

3. If Yes What Channel and approx time of day?    

4. Have you heard the radio commercials?          Yes No

5. If yes what station and approx time?                    

6. Were You treated with courteously and respect?   Yes No

7. Did You understand the repair process?           Yes No

8. Was your Vehicle completed in time expected?   Yes No

9. Did you find the business clean, organized?    Yes No

10. Why was it convenient to bring your vehicle to  Scotty's? 

11. Would you come back for service again?        Yes No                  

12. On a scale from 1-10 how would you rate your over all experience at  Scotty's ?  1 2 3 4 5 6 7 8 9 10

13. What do you feel could better improve your visit at Scotty's Body Shop?

14. Would you tell your friends about us?         Yes No                                                      

15. Age: 16-25 26-35 35-45 45-55 55-65 65 & Over     Gender : Female Male        Zip Code :                

16. How did you think your vehicle look after the repairs were made?   Alright Good Excellent Sadly disappointed Dissappointed in Work

17. Was your vehicle clean when you picked it up?     Yes No
Other Comments :

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18. Did your insurance company try steering you to one of their shops? Yes No

19. If yes What Shop?   
Name of claim rep trying to steer you.

20. What insurance company?  
Policy holders name?

21. Did your insurance company make you uncomfortable choosing  Scotty's. Yes No

Thank you for your time and we hope to service you when ever you need us

Management,

Scotty's body shop Inc

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