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Name
   
Address
   
Phone Number
   
Email Address
   
 
 
What is your race?
 
 
 
Do you currently work for Comcast in the greater Chicago area?
   
If yes, how long have you been employed by Comcast?
   
What is your title?
   
 
 
 
If not, did you work for Comcast in the greater Chicago area between 2005 and 2011?
   
When were you employed by Comcast?
   
What was your title at that time?
   
 
 
 
At which facility or facilities did you work? (Select all that apply)
 
Aurora
 
Elmhurst
 
Hickory Hills
 
Homewood
 
Kankakee
 
North Chicago
 
Romeoville
 
Other
 

 
 
How many times during your employment were you placed on a "Performance Improvement Plan" (PIP)?
 
0
 
1-2
 
3-4
 
5-6
 
7-8
 
9-10
 
Other
 
 
 
How often did you receive job-related training during an average year through Comcast or Comcast University?
 
0
 
1-2
 
3-4
 
5-6
 
7-8
 
9-10
 
11-12
 
Other
 
 
 
 
Are you a current or former Comcast consumer?
 
I am current Comcast customer.
 
I used to be a Comcast customer.
 
I have never been a Comcast customer.
 
 
Did you ever receive defective equipment during the installation or repair process through Comcast? If so, how many times?
 
No.
 
Yes. 1-2 times.
 
Yes. 3-4 times.
 
Yes. 5-6 times.
 
Yes. 7-8 times.
 
Yes. 9-10 times.
 
Yes. 11-12 times.
 
Yes. More than 12 times.

 
 
Did you ever require multiple service calls to fix an issue? If so, how many trips were required to fix your problem?
 
No.
 
Yes. 1-2
 
Yes. 3-4
 
Yes. 5-6
 
Yes. 7-8
 
Yes. 9-10
 
Yes. 11-12
 
Yes. More than 12 trips.
 
Other
 
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