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Customer Satisfaction Survey
Thank you for using Essential Referrals To help us maintain a high quality of service, please provide us with feedback by filling in the information below.
After you have completely filled out this feedback form you will be sent an email offer with $25 off your next appointment, please check your bulk folder for this email, if you do not recieve an automated response after submitting this feedback form please contact us at 678-478-3182 Monday - Friday from 10am-5pm.
We can not honor discounts if your feedback is on a model who is no longer with our service
and you can not use your discount here with any other specials or offers. We do not permit any specials to be combined. Thank you again.
Essential Referrals
What Model did you see?
*
Date of Visit (MM/DD/YYYY)
*
Was this your first visit to Our Service?
*
Yes
No
Please choose the best answer for each of the following.
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Yes
Somewhat
Needs Improvement
No
The Phone Dispatcher was friendly
Yes
Somewhat
Needs Improvement
No
The Phone Dispatcher was eager to help
Yes
Somewhat
Needs Improvement
No
The Phone Dispatcher and model were polite
Yes
Somewhat
Needs Improvement
No
The Incall was clean
Yes
Somewhat
Needs Improvement
No
The Incall was well organized
Yes
Somewhat
Needs Improvement
No
The Incall was well stocked
Yes
Somewhat
Needs Improvement
No
The Incall felt safe
Yes
Somewhat
Needs Improvement
No
The Model looked like her photos
Yes
Somewhat
Needs Improvement
No
You were greeted pleasantly
Yes
Somewhat
Needs Improvement
No
You were provided your full appointment time and not rushed
Yes
Somewhat
Needs Improvement
No
The model was dressed nice and had her hair and makeup done well
Yes
Somewhat
Needs Improvement
No
Did you feel a sense of privacy
Yes
Somewhat
Needs Improvement
No
Was booking an appointment easy
Yes
Somewhat
Needs Improvement
No
Do you feel the models donation is reasonable
Yes
Somewhat
Needs Improvement
No
on a scale of 1-10 how would you rate your overall experience?
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1 Not good
2 Not the best
3 Ok
4 Pretty good, but could be better
5 I might return
6 Fun
7 I'll return
8 Great memories
9 Unforgettable
10 The Best
What refreshments were you offered and what refreshments did you accept and ask for?
Please tell us what we can do to make your next visit even better? What improvements would you like to see?
How likely are you to use our service again?
*
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Comments or Suggestions
First Name
Last Name
Phone
Email Address
*
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