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Contact Form
Passenger Satisfaction Survey Form
Customer Satisfaction Survey
Passenger Name *
Date of Service
Phone Number *
Driver Name
Were you picked up at the scheduled time?
Yes
No
Did your driver pick you up from your appointment in a timely manner?
Yes
No
Was your driver courteous and professional?
Yes
No
Was the car clean inside and out?
Yes
No
Was the car smoke-free?
Yes
No
If applicable did your driver assist you to the vehicle?
Yes
No
N/A
Was the temperature in the car comfortable?
Yes
No
Did your driver obey all traffic laws?
Yes
No
Were you required to wear a seatbelt in front seat?
Yes
No
N/A
Did your driver drop you off In a safe location?
Yes
No
Please use the space below for comments on your trip
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Fancee Transportation
Ambulatory
Curb-to-Curb Transportation Service
(716) 483-3661
Ambulatory and Wheelchair
Door-through-Door Transportation Service
