The #1 paving contractor in Fairfield County Connecticut and Westchester County New York!

Customer Satisfaction Survey

Please fill out the following form as part of our Customer Satisfaction Survey. Answer the questions below with 1 being the poorest and 5 being the best.

Name:
Email:
Address:
City:
State:
Zip:
Phone:
1. My problems and the cause of my problems.:	1 2 3 4 5
2. The work that would be needed in detail, to properly solve my problem or provide the service needed.:	1 2 3 4 5
3. The work was performed on schedule or if schedule changes were made I was properly informed and kept up-to-date.:	1 2 3 4 5
4. The work was performed in a professional manner. On-site personnel understood my job and were skilled in performance.:	1 2 3 4 5
5. The finished product met my expectations exceeded my expectations.:	1 2 3 4 5
6. Overall I was satisfied with the contractor. From the first contact to the completion of my project.:	1 2 3 4 5
7. I would recommend this contractor to other I knew if they needed this type work. (1-No... 5-Definitely):	1 2 3 4 5
8. I was given a written guarantee I felt was satisfactory::	Yes No
Any Comments or Suggestions?:
Security Code:	Note: For security reasons, you are required to re-enter this Security Code.
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Roccies Asphalt Paving, Inc. | 19 De Bera Lane, Stamford, CT 06902 | (888) 88ROCCIES or (888-887-6224)

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