| How would you rate the below services done by Maid for Mommy: |
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| 1. Kitchen |
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| 2. Bathroom(s) |
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| 3. Dusting |
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| 4. Vacuuming |
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| 5. Overall, how would you rate the service you received from our cleaning staff? |
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| 6. How would you rate the attitude/friendliness of our cleaning staff? |
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| 7. Would you recommend our service to family and friends? |
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| 8. Why or Why not? |
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| 9. What do you like best about Maid for Mommy? |
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| 10. How could Maid for Mommy serve you better? |
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| 11. Please enter your name. |
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| 12. Please enter your e-mail address. |
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| 13. Please enter the date of your last cleaning. |
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