First Name Last Name  
Please rate the following items between 5 and 1, 5 being very satisfied and 1 being very dissatisfied.
5
4
3
2
1
1. Office personnel were courteous and helpful.
2. Service was prompt and satisfactory.
3. The driver was courteous and knowledgeable.
4. I enjoyed the value I received.
5. My overall satisfaction.
6. I would use BLT’s services again or recommend BLT to my friends.
7. Were you aware that BLT not only delivers concrete, but also decorative rock, sand, decomposed granite, gravel and road base?

Yes

No

     
8. How did you hear about us?          
  The Fallon, Fernley, Hawthorne, Yerington Phone Book          
  Nevada West Phone Book          
  SBC Yellow Pages          
  Fernley Newspaper          
  Fallon Newspaper          
  Referred by a friend          
  BLTReadyMix.com (website)          
  Other (Please explain)          
  Date of Concrete Service