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Pick up Postal Code
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Delivery Postal Code
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Dwelling Type
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Select
Small Move (1000 lbs)
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Studio
1 Bdrm Apt.
2 Bdrm Apt.
3+ Bdrm Apt.
1 Bdrm house
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Moving Date
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Address
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LMP Move ID
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Email
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Date
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MM slash DD slash YYYY
Satisfaction
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Arrived on time?
*
Yes
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were your items delivered at the time you were told?
DELIVERY of your belongings?
*
Very Satisfied
Satisfied
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Very Unsatisfied
How satisfied were you with the delivery of your belongings to you.
Satisfied with the move process?
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
I would recommend Country Wide Moving and Storage to my friends and family
*
Yes
No
Additional Comments
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