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INQUIRIES
GENERAL  EMPLOYMENT  PRODUCT  DEALERSHIP  FEEDBACK
     
 
 

FEEDBACK

Please complete the application form by filling out the fields below.


Name:* Province/State:*
Address:* City:*
Phone:* Country:*
E-mail:* Postal Code/Zip:*
  *required  
     
QUESTIONNAIRE:
Excellent
Good
Fair
Poor
Was the showroom visitation conducted to your satisfaction?
Was the designer/consultant helpful and knowledgeable?
Was the designer/consultant available when needed?
Were the installers neat and clean?
Was the job completed in a satisfactory manner?
Were your communications with the company handled satisfactory?
Would you recommend our company to friends/relatives?
         
Which AyA designer worked with you on your project?
         
ADDITIONAL COMMENTS:        

Verification Code Guess the letters and numbers
(passphrase riddle)
--
3 chars before small D
and
small 'C' +2 letters
followed by
(((??? - 6) * 10) - 10) = -10,
2 chars before small C
and not a
"V",
but
(((((??? - 8) - 5) * 9) - 7) * 5) = -305
&

Enter Code: