NOTE: The information collected from this form is for internal use only. Your information will not be sold or distributed to anyone.

Required fields are marked with an asterisk*

Name:*
E-mail:*
Company:
(if applicable)
Address:
City:
State/Province: Zip/Postal Code:
 
Telephone:* () -
FAX: () -
 
Extremely Likely
Very Likely
Neutral
Not Very Likely
Not At All Likely
1
If the occasion to move again should arise, how likely would you be to use Allied Van Lines Again?
2
Did you experience any Loss and / or damage for which you think you might file a claim with Allied Van Lines?
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
3
Overall how satisfied or dissatisfied were you with the Allied Van Lines salesperson?
4
If you had any special requests or needs, how satisfied or dissatisfied were you with how the salesperson followed through with the appropriate person or action?
5
Did the truck and crew show up to load your goods when promised?
6
How satisfied or dissatisfied were you with the loading process?
7
How satisfied or dissatisfied were you with the communications during the moving process?
8
How satisfied or dissatisfied were you with the unloading process?
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
9
How the packers were careful in how they treated your items?
10
How the crew who loaded your goods was careful in how they treated your items?
11
How the driver who picked up your goods cared about you and your furniture?
12
How the driver who delivered your goods care about you and your furniture?
13
How the crew who unloaded your goods was careful in how they treated your items.
14
Do you require any non-claims-related assistance that you would like someone from Allied Van Lines to contact you about?
Yes
No
15
May we give Allied Van Lines your answers to theis survey to help Allied's quality improvement process? (Note; this is a general question to allow Allied to provide detail information to its agent(s) for staff/crew appraisal/recognition).
16
In the last few days did anyone from Allied Van Lines contact you about problems experienced during your last move?
17
Were you satisfied with the outcome of your telephone conversation with Allied Van Lines?
Extremely Likely
Very Likely
Neutral
Not Very Likely
Not At All Likely
18
If the occasion to move again should arise, how likely would you be to use Allied Van Lines again?