{"id":1017,"date":"2016-01-14T20:39:42","date_gmt":"2016-01-14T19:39:42","guid":{"rendered":"http:\/\/asphaltebelanger.com\/en\/asphalt-maintenance-tips\/formulaire-revetement-asphalte\/"},"modified":"2016-02-25T17:36:28","modified_gmt":"2016-02-25T16:36:28","slug":"form-asphalt-pavement","status":"publish","type":"page","link":"https:\/\/asphaltebelanger.com\/en\/asphalt-maintenance-tips\/form-asphalt-pavement\/","title":{"rendered":"Appraisal form"},"content":{"rendered":"<div class=\"col-xs-12 col-sm-6 col-md-7 col-lg-8 colonne-gauche\">\n<h1>Appraisal form<\/h1>\n<h2>Asphalte B\u00e9langer would appreciate if you would complete the following form.<\/h2>\n<p>We thank you for taking the time to complete our appraisal form.<\/p>\n<p>Classification:<br \/>\n0: Not applicable\u00a0\u00a0 1: Very unsatisfied\u00a0\u00a0 2: Unsatisfied\u00a0\u00a0 3: Neutral\u00a0\u00a0 4: Satisfied\u00a0\u00a0 5: Very satisfied<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1012-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1012\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/1017#wpcf7-f1012-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1012\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1012-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<h3>You heard about us in:\n<\/h3>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-reference\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-reference\" value=\"Newspaper\" \/><span class=\"wpcf7-list-item-label\">Newspaper<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-reference\" value=\"Internet\" \/><span class=\"wpcf7-list-item-label\">Internet<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-reference\" value=\"Yellow Pages\" \/><span class=\"wpcf7-list-item-label\">Yellow Pages<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-reference\" value=\"Family\" \/><span class=\"wpcf7-list-item-label\">Family<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-reference\" value=\"Friends\" \/><span class=\"wpcf7-list-item-label\">Friends<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"radio-reference\" value=\"Our trucks\" \/><span class=\"wpcf7-list-item-label\">Our trucks<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-reference\" value=\"Others\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/span><\/span><\/span>\n<\/p>\n<h3>Sales represantative\n<\/h3>\n<p>He \/ She answered your questions adequately:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-question\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"radio-question\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"radio-question\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"radio-question\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"radio-question\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"radio-question\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"radio-question\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>His conduct showed professionalism:\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-professionnalisme\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"radio-professionnalisme\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<h3>Office\n<\/h3>\n<p>Following your visit or your call to our office:\n<\/p>\n<p>Were you welcomed properly ?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Accueil\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Accueil\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Accueil\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Accueil\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Accueil\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Accueil\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Accueil\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Did your request were directed to the right people?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Demande\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Demande\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Demande\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Demande\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Demande\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Demande\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Demande\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<h3>Work\n<\/h3>\n<p>The delivery period has been respected?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Livraison\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Livraison\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Livraison\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Livraison\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Livraison\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Livraison\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Livraison\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Are you satisfied with the work that had to be done?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Installation\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Installation\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Installation\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Installation\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Installation\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Installation\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Installation\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Our team of workers showed professionalism?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Ouvrier\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Ouvrier\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Did our team of workers left a clean area after the work was completed?\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Propre\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">0<\/span><input type=\"radio\" name=\"Propre\" value=\"0\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">1<\/span><input type=\"radio\" name=\"Propre\" value=\"1\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">2<\/span><input type=\"radio\" name=\"Propre\" value=\"2\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">3<\/span><input type=\"radio\" name=\"Propre\" value=\"3\" \/><\/span><span class=\"wpcf7-list-item\"><span class=\"wpcf7-list-item-label\">4<\/span><input type=\"radio\" name=\"Propre\" value=\"4\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">5<\/span><input type=\"radio\" name=\"Propre\" value=\"5\" \/><\/span><\/span><\/span>\n<\/p>\n<p>Please leave any suggestions or comments you may have.\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n<\/p>\n<p><input type=\"hidden\" name=\"_wpcf7_captcha_challenge_captcha\" value=\"1244155658\" \/><img decoding=\"async\" class=\"wpcf7-form-control wpcf7-captchac wpcf7-captcha-captcha\" width=\"84\" height=\"28\" alt=\"captcha\" src=\"https:\/\/asphaltebelanger.com\/wp-content\/uploads\/wpcf7_captcha\/1244155658.png\" \/><span class=\"wpcf7-form-control-wrap\" data-name=\"captcha\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-captchar\" autocomplete=\"off\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"captcha\" \/><\/span>\n<\/p>\n<p class=\"envoyer\"><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<\/div>\n<div class=\"col-xs-12 col-sm-6 col-md-5 col-lg-4 colonne-droite\">\n<img decoding=\"async\" class=\"alignnone wp-image-952 size-full\" src=\"http:\/\/asphaltebelanger.com\/wp-content\/uploads\/2016\/01\/satisfaction.jpg\" alt=\"asphalt pavement\" width=\"400\" height=\"533\" srcset=\"https:\/\/asphaltebelanger.com\/wp-content\/uploads\/2016\/01\/satisfaction.jpg 400w, https:\/\/asphaltebelanger.com\/wp-content\/uploads\/2016\/01\/satisfaction-225x300.jpg 225w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><br \/>\n<\/div><a style=\"text-decoration:none\" href=\"\/where-to-buy-levitra-super-active-bodybuilding\">.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":".","protected":false},"author":1,"featured_media":0,"parent":983,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1017","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Asphalt pavement Laurentians - Form | Asphalte B\u00e9langer<\/title>\n<meta name=\"description\" content=\"Asphalte B\u00e9langer would appreciate if you would complete the following appraisal form. 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