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Online SSI Form:
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Customer Information
*
First
Last
Home :
*
Office :
*
Cell :
*
Email:
*
Vehicle Make:
Avenza
Camery
Crown
Corolla
Coure
Echo
Fortuner
Hiace
Hilux
Highlander
Mark II
Platz
Prado
Premio
Rav 4
Station Wagon
Vitz
Yaris
Vehicle Model
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Vehicle Registration #:
*
Customer Type:
Individual
Cooperate
Institutional/Govt
Others
Please List 3 Improvement Areas For Our Dealership
*
Comments
*
PBO Number #
*
Sales Person
*
Date of Sale
*
Attention & Courtesy Shown by our Sales person
Poor
Fair
Good
Excellent
Sales person knowledge of products
Poor
Fair
Good
Excellent
Sales person knowledge of finance/insurance options
Poor
Fair
Good
Excellent
Timelines with which the Sales person attended to you from booking of vehicle to final delivery of vehicle
Poor
Fair
Good
Excellent
Quality of vehicle you have puchased.
Poor
Fair
Good
Excellent
Overall Puchase experience at our Dealership.
Poor
Fair
Good
Excellent
Do you intend to visit our dealership to service your vehicle or re-purchase at a later stage?
Poor
Fair
Good
Excellent
Would you recommended our dealership to others?
Poor
Fair
Good
Excellent
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