Feedback Form

Just complete this form. Click on Submit when ready to send.


Date of Move:
Your Name:
Old Address:
City:
New Address:
City:
Home Phone:
Work Phone:
E-mail:
Crew Leader:
Crew Members:


In Order to maintain the high standard of quality service that Midwest & Storage, Inc. is known for, we would appreciate your cooperation in answering the following questions:


What time did the crew arrive?
What time did they depart?
Did the crew work efficiently together?
YesNo
Were the men courteous and helpful?
YesNo
Were the premises cleared of debris before departure?
YesNo
How would you rate the handling of your goods?
ExcellentGoodFairPoor
Were your goods blanket wrapped in your home?
YesNo
Was your estimate done in house or by phone?
HousePhone
Was it within a reasonable range?
YesNo
Would you recommend us to family and friends?
YesNo
Would you allow us to use your name and phone number (or e-mail address) on our reference list?
YesNo
Would you take a moment to tell us anything you feel would help improve service for our customers?