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Warranty Registration & Satisfaction Survey
Flooring America would like to take this opportunity to Thank you in advance for taking the 5 minutes or less required to complete our Warranty Registration and Star Service Customer Satisfaction survey. As a token of our appreciation, please print the coupon for a
Free bottle of Floor Cleaner
presented to you after your information is submitted and recieved.
Warranty Information...
*
=
Required
Your First Name:
A value is required.
*
Your Last Name:
A value is required.
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Your Address (1):
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*
Your Address (2):
Your City:
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*
Your State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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*
Your Zip:
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Your Phone:
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*
Your Email:
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Invoice Number:
A value is required.
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Purchase Date:
A value is required.
Invalid format.
*
Sales Person Name:
A value is required.
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Product Installed:
Carpet
Please select the product installed.
Vinyl
Laminate
Tile
Hardwood
Area of home purchased product installed:
Kitchen
Bedroom 1
Please select where the product was installed.
Dining Room
Bedroom 2
Living Room
Bedroom 3
Family Room
Bath 1
Laundry/Utility
Bath 2
Master Bedroom
Other
Other:
Survey...
*
=
Required
Store Number/Location
Select Store
Brandon
Carrollwood
Jacksonville
Jax Beach
Mandarin
New Tampa
Orange Park
Regency
Tampa
Valrico
Please select a store.
*
Store Experience
Clean, attractive, easy-to-shop
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Prompt and friendly greeting
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Products easy to find & compare
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Well lit & comfortable
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Sales Person Experience
Name:
A Name is required.
*
Understood and met your flooring needs?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Professional, knowledgeable and courteous?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Answered your questions regarding product information?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Explained Instalation and service processes?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Followed up with you after the sale?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select an item.
*
Followed up with you after installation?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select an item.
*
Installer #1 Experience
Name:
A Name is required.
*
Type of installation?
Please Select One
Carpet
Vinyl
Laminate
Tile
Hardwood
Please select a rating.
*
Reviewed installation before beginning?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Professionalism & courtesy?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Vacuumed and/or cleaned site?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Walkthrough after installation?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Installer #2 Experience
Name:
Type of installation?
Please Select One
Carpet
Vinyl
Laminate
Tile
Hardwood
Reviewed installation before beginning?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Professionalism & courtesy?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Vacuumed and/or cleaned site?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Walkthrough after installation?.
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Installer #3 Experience
Name:
Type of installation?
Please Select One
Carpet
Vinyl
Laminate
Tile
Hardwood
Reviewed installation before beginning?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Professionalism & courtesy?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Vacuumed and/or cleaned site?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Walkthrough after installation?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Overall Installation & Service Experience
Was your installation scheduled in a timely manner?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select an item.
*
Did your installation occur within the specified timeframe?
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select an item.
*
Please rate your overall service, installation & experience
Please Rate
1 (Far below)
2
3
4
5 (Far exceeds)
Please select a rating.
*
Overall Satisfaction
Would you shop at our store again?
Please Select One
Yes
No
Please select a rating.
*
Would you recommend us to a friend?
Please Select One
Yes
No
Please select a rating.
*
Comments or Suggestions:
How many other companies did you shop for flooring?
Please Select One
None
1
2 to 3
4 or more
Please select a rating.
*
How long ago did you last purchase flooring?
Please Select One
2 yrs. or less
3 to 4 yrs.
6 to 8 yrs.
More than 8 yrs.
Please select a rating.
*
What prompted you to select our company?
Please Select One
Location
Radio Ad
TV Ad
Newspaper Ad
Builder Referral
Direct Mail
Internet
Yellow Pages
Word of Mouth
Prior Customer
Reputation
Please select a rating.
*