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IP City
IP Province
Name of Receiver
*
Address
*
Rate the staff friendliness (5 being great)
*
1
2
3
4
5
Rate the driver lounge (5 being great)
*
1
2
3
4
5
How likely is it that you would recommend this receiver to a friend who is a driver? (5 being 100% certain)
*
1
2
3
4
5
Were you unloaded on time?
*
Yes
No
How many hours did it take to get unloaded?
*
1/2
1
2
3
4+
Additional Comments (Optional)
