CUSTOMER SURVEY
Please answer the following questions.
I can only improve my services by you truthfully answering these questions
and sending it back to me using this form. [ Required Information ]

1. What was the date of the service?  
2. What type of video service was provided?  
3. Is this your first experience with Tom's Videography?   YES   NO  
4. Did the final product meet your original expectations?  
If not where did it fall short?  
YES   NO  
5. Are you satisfied with the final product?   YES   NO  
6. Was the time frame of the project
and the final delivery acceptable?  
YES   NO  
7. Did the investment of the project meet expectations?   YES   NO  
8. Did you have a favorite part of the video,  
if so what?  
YES   NO  
9. Are there any other video services  
you need in the near future?  
YES   NO  
10. Would you recommend my services to others?   YES   NO  
11. If yes, may I use your name as a referral?   YES   NO  
Name: 
Phone: 
Email me @ : 
Address: 
City: 
State:   Zip:
  ...any Questions/Comments ? 
   
   

Toms Videography
175 145th Street
Seaton, IL 61476
309-586-4111
tomharlan@frontiernet.net



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