Rate Card - Home Professionals Network

How to use this Form:
u Use one RATE CARD to evaluate and rate a job performed by a home professional.
u Type in the Form, on screen response, (fill out all applicable blanks).
u Please do not hit "Back" button. If you do that, all information you entered will be erased.
u If you make a mistake, you may delete it and type again.
u Press "TAB" to move between blank spaces. When finished, please click on "Send it in".

HOME OWNER INFORMATION:
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First Name M.I. Family Name
Sex Male Female
Date Of Job
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Your Contact Information:
Area Code Day Phone Number Night Phone Number
E.Mail Address

Rating The Home Professional:
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Please rate the following, on a scale 1 - 10 (10 Being best):
1. First contact: How easy was it to communicate with the company and its professionals
2. Home professional's arrival on time to your home
3. Home professional's attitude
4. Home professional's readiness to do the job
5. Home professional's attention to do the job
5. Did you feel that the professional was qualified to do the job
6. After the job was completed: Were all forms processed efficiently
7. Would you refer this professional to others Yes No
8. Over all rating for the professional and for the company

Your comments about the job. Please type below additional information you wish to add:
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Your Race/Ethnicity (type X in applicable boxes):
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White/Caucasian
Black/African-American
Asian/Asian-American/Pacific Islander
Hispanic/Latina
Native American/Alaska Native
Middle Eastern Descent
Other: Please Type Here

Welcome to
Consumer Support
P.O. Box 748
Lake Forest, California 92609-0748

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