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Residential Install Survey
Please take a moment and provide your feedback on today’s installation process. The feedback you give helps us to improve and provide services that fit your needs. Questions marked with * are required
Installed Services
What Services did you have installed today?
Internet
*
100 Mbps
1 Gigabit
This field is hidden when viewing the form
Television
*
Local Plus
Complete TV
Advanced TV
Ultra TV
NO TV WAS INSTALLED
Home Phone
*
Residential Phone (basic)
NO PHONE WAS INSTALLED
Installation Process
Regarding your installation, rate the following situations. (1=Very Satisfied; 5= Very Dissatisfied)
Quality of the installation
*
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Install technician courtesy.
*
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Timeliness of the installation
*
(on-time, length of the installation process)
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Were the services you ordered listed correctly on the Account Information sheet?
*
Yes
No
Was the installation completed on the first visit?
*
Yes
No
What can we do to improve the installation process?
Install Date
Time
*
What time was your scheduled appointment?
Hours
:
Minutes
AM
PM
AM/PM
Date of Installation
*
MM slash DD slash YYYY
Work order number
*
Contact Information
Would you like us to contact you regarding your installation?
Yes
No
Email
Phone
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FAQ
Technical Support
Accessibility
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