Customer Satisfaction

Your Opinion Matters To Us

As part of our effort to achieve the highest level of customer satisfaction, we are eager to receive your frank evaluation of our service.

Please take a few minutes to complete this questionnaire.

Thank you for allowing BELFOR to be a part of your recovery.

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First Name

Last Name

Primary Phone Number

Alternate Phone Number

Are you the property owner?

Company

Email Address

Address of Damaged Property #1

City

State

Zip

Country

How did you hear about BELFOR?

Date of Loss

Loss Type

Loss Location Type

Name of Insurance Carrier

Insurance Claim Number

BELFOR Job Number

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Please Rate - Response To Your Emergency

Please Rate - Ability To Meet Deadlines

Please Rate - Quality of Our Work

Please Rate - Performance of Our Employees

Please Rate - Knowledge of Our Employees

Please Rate - Appearance of Our Employees

Please Rate - Courtesy of Our Employees

Please Rate - Our Communication Skills

Please Rate - Our Contribution To Your Recovery

Please Rate - Overall Service You Received

Tell Us How We Exceeded Your Expectations

How Can We Improve Our Service?

May We Use You As A Reference?

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