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Customer Survey
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2024-05-24T16:04:44+00:00
Customer Survey
Please Take Our Customer Survey
Name of Patient
Email
Date of Transport
MM slash DD slash YYYY
Driver Name (if you can remember)
Which Stellar Transport Location Did You Use?
Brevard County
Indian River County
Port St Lucy
Sarasota
Jacksonville
Winter Haven
Lake & Orange Counties
For each item identified below, select the number to the right that best fits your judgment of its quality. Use the rating scale to select the quality number. (Please rate "1" the Poor and "5" Excellent)
Promptness
*
1
2
3
4
5
Concern for your safety
*
1
2
3
4
5
Attentiveness
*
1
2
3
4
5
Courteous
*
1
2
3
4
5
Driving ability
*
1
2
3
4
5
Van Condition
*
1
2
3
4
5
Cleanliness of Van
*
1
2
3
4
5
Cleanliness of Driver
*
1
2
3
4
5
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