Move Date:

Customer Name:

Destination City:

1. On a scale of one to five, with five being the best and one being the worst, how would you rate the overall service you received from Vic's?

1. 2. 3. 4. 5.

2. Will you recommend our service to friends or family?

Yes No

3. Will you please provide us with a testimonial or quote for our web site?

Customer Comments:

Thank you for your time and please look for our thank you letter and magnet in the mail. We depend on repeat business and referrals for our growth.

Your Email Address: