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*Name *Phone *Email *Street adress *City *State *Zipcode *Was your service provider on time Yes   No       *Was your service provider courteous Yes   No   Wasn't Home when they arrived     *Please rate quality of bathroom cleaning Excellent Satisfactory Needs Improve UnAcceptable   *Please rate quality of kitchen cleaning Excellent Satisfactory Needs Improve UnAcceptable   *Please rate quality of dusting Excellent Satisfactory Needs Improve UnAcceptable   *Please rate quality of floor cleaning Excellent Satisfactory Needs Improve UnAcceptable   *Please rate overall quality services Excellent Satisfactory Needs Improve UnAcceptable       *Do you want to say anything further (Please Only write black character in captcha)