Wiersema Charter Service, Inc. Customer Survey
Name See our privacy policy for concerns on the use of your contact in formation. Email Phone Address Date of Trip Group Name Destination of Trip Driver Name: Choose Driver Larry Wiersema Steve Sippel Eric Wiersema Gregg Wiersema Jim Wright La Verne Sterenberg John Bogart Gean Moore Brian Palmer Al Schuitema Dale Smith Bus Number: Choose 209 205 203 2002 2000 199 196 38 Guided Tour? Choose Yes No Comments about Destination: Comments about Driver: Comments about bus: Comments about Tour Guide: Additional Comments or Suggestions: Comments about web site and/or office experience: . Based on your experiences, how would you rank your Wiersema Charter experience? (1 being poor and 10 being excellent) Choose 1 2 3 4 5 6 7 8 9 10 . Thank you for taking time to help us better serve our customers.
Phone
Address
Date of Trip
Group Name
Destination of Trip
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Based on your experiences, how would you rank your Wiersema Charter experience? (1 being poor and 10 being excellent)
Thank you for taking time to help us better serve our customers.