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* 1. Address

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* 2. Are you answering this survey as a residential or commercial customer?

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* 3. Please list the services you use as a residential/commercial customer with Aquatera Utilities.

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* 4. On a scale of 1 - 10 (with 1-6 being unsatisfied, 7-8 being neutral, and 9-10 being satisfied), how would you rate your satisfaction with the services you receive through Aquatera Utilities?

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* 5. What is the primary reason for the score you just gave? Please be as specific as possible. 

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* 6. What is the most important change(s) you would like to see in regards to your services with Aquatera Utilities?

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* 7. Would you like to WIN your water for the month, or GIVE your water to a local non-profit organization or anonymously donate to another Aquatera customer?

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* 8. If you would like to GIVE your water, what local, non-profit organization would you like Aquatera to donate to on your behalf? 

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