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Phone Number:
Building Number:
Please Use the Following Scale to Rate FCSS on Their Performance:
1-Very Poor, 2-Poor, 3-Satisfactory, 4-Good, 5-Excellent
1 2 3 4
5
  Courtesy of the FCSS Technician on the Job
1 2 3 4
5
  Timeliness of the Technicians Arrival
1 2 3 4
5
  Quality of the Technicians Work
1 2 3 4
5
  Appearance of the FCSS Technician
1 2 3 4
5
  Condition of the work area upon the departure of the Technician
Did the Technician interfere or cause any kind of disturbance: Yes No
If So Explain:
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