Evaluation Form
Fairfield Iowa Home
CICorp.com/Evaluation/FairfieldIowaHome
Please submit this form - or fax it to 877-727-9070

Or you can print and send this to:

Rick Shaddock
806 North 4th Street
Fairfield, IA  52556
 
We appreciate the opportunity to work with you. We continually strive for excellence, and your feedback is very important to monitor our progress. Thank you for your time.
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Poor  Bad  Average  Good  Excellent
Poor  Bad  Average  Good  Excellent
Poor  Bad  Average  Good  Excellent
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