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HRP SHOP LOCATOR
Shop Evaluation Form
Please let us know about your recent experience with a headlight restoration service...
Shop Evaluation Form
Date of Service:
1
2
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Year:
2000
2001
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2003
2004
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Shop Name:
City:
State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - Washington DC
DE - Delaware
FL - Florida
GA - Georgia
HI - Hawaii
IA - Iowa
ID - Idaho
IL - Illinois
IN - Indiana
KS - Kansas
KY - Kentucky
LA - Louisiana
MA - Massachusetts
MD - Maryland
ME - Maine
MI - Michigan
MN - Minnesota
MO - Missouri
MS - Mississippi
MT - Montana
NC - North Carolina
ND - North Dakota
NE - Nebraska
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NV - Nevada
NY - New York
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VA - Virginia
VT - Vermont
WA - Washington
WI - Wisconsin
WV - West Virginia
WY - Wyoming
Not USA
How would you rate this shop?
Very Poor
Poor
Fair
Good
Excellent
Would you recommend this shop?
Yes
No
Please rate overall performance of job:
10=Excellent
1=Poor
10
9
8
7
6
5
4
3
2
1
Please rate shop courtesy and professionalism:
10=Excellent
1=Poor
10
9
8
7
6
5
4
3
2
1
Please rate lens clarity after restoration:
10=Excellent
1=Poor
10
9
8
7
6
5
4
3
2
1
Shop Website:
Should we add this shop to our shop locator?
Yes
No
Comments:
