Please Tell Us...
Yes
No
N/A
Were you called to Confirm your Delivery?
Was your Delivery made within Time Window?
Was the Furniture in Good Condition?
Was the Furniture placed where you wanted it?
Were all packing materials removed from your home?
Were the deliverymen neatly attired and courteous?
Please rate your overall delivery experience:
Click to Select
Poor
Fair
Good
Excellent
Our deliverymen are rated on their performance... We would appreciate any comments, favorable or unfavorable, that you may have:
Date we delivered your merchandise:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2007
Store you made your purchase from:
Location of store you made your purchase from:
Your name*:
Your phone number:
Smart# from response card:
*Optional information
