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Tell us what you think about our service, our organization, or anything else that comes to mind. We welcome all of your comments and suggestions.

What would you like to comment on?

Other:

Enter your comments in the space provided below. Please include the date your home was cleaned, and the maid's name:

Maid's Name 
Date Cleaned
Was she prompt?
Courteous?

Please rate each of the following cleaning items on a scale of 1(worst) - 10(best)

Bathrooms Comments
Kitchen Comments
Bedrooms Comments
Living room Comments
Dusting Comments
Sweeping Comments
Mopping Comments
Additional Comments

            Tell us how to get in touch with you:

Name
E-mail
Home Tel
FAX
Please contact me to schedule another appointment.

Copyright © 2002 [White Glove Maid Service]. All rights reserved.
Revised: February 21, 2005 .

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