Curtis Employee Feedback Form Account NumberName(Required) First Last Email(Required) PhoneHow satisfied were you with your experience?(Required) Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied Can we contact you about your experience?(Required) Yes - Call Yes- Text Yes - Email No - Do Not Contact Me What feedback would you like to share about your experience with Valley Energy?All types of Feedback are welcome!Did the technician give you their business card? Yes No Optional - Upload Photos From Your Service or DeliveryMax. file size: 256 MB. CAPTCHA