Please take a few minutes to complete our on-line survey.
Your input is important to us and will help us better serve you.
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First Name: *
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Last Name: *
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Address: *
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City: *
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State: *
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Zip: *
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Account Number: (if available)
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| How would you rate our Web site? |
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| Where did you learn about our Web site? |
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| Do you find our Web site easy to navigate? |
Yes No
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| Are you likely to tell someone about our Web site? |
Yes No |
| Do you plan to visit our Web site again soon? |
Yes No Maybe
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| Would you like to receive an email notification of our latest news and information? (If yes, please provide your email address.) |
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| Where do you have internet access? |
Home Work Both Other
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| Do you read our monthly Florida Magazine? |
Yes No
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| Which local TV News station do you watch most often? |
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| Which local station do you watch most often as it relates to prime time? |
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| Which local radio station do you listen to most often? |
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| Which local newspaper fo you read most often? |
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| How would you prefer the co-op to communicate with you? |
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| Do you own or rent your home? |
Own Rent |
| How many square feet of living space do you have? |
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| Approximately when was your home built? |
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| Which best describes your home? |
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| What fuel does your water heater use? |
Electricity
Natural Gas
Propane
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| How many people live in your home? |
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| Do you plan to build a house in the next two years? |
Yes No |
| What can we do to serve you better? |
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| What additional items would you like to see us add to our website? |
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| What is the age of the primary account holder? |
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| What are the primary sources of income for your household? |
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| Do you operate a business out of your home? |
No Yes |
| Please select the services you are interested in from the list: |
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| How would you rate the number of power interruptions you receive? |
Low
Average
High
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| How would you best describe the rates you receive for electric service? |
Low
Average
High
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| How would you rate our employees? |
Friendly and Helpful
Average
Poor
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| Does GCEC restore your power in a reasonable amount of time after an outage? |
Yes No |
| Do you clearly understand the way your bill is computed? |
Yes No |
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