Use the form below to provide feedback on your recent service request. All correspondence is kept in the strictest confidence. Name* First Last Address* City State / Province / Region Date Please select the date that we worked together.Email* PhoneHow did you hear about us?*FacebookTwitterYelpReferralSearch EngineOur WebsiteOtherReferral?If we were referred to you by a friend or family member, let us know so that we can personally thank them!Rate & ReviewQuality of Service*5 Stars4 Stars3 Stars2 Stars1 StarHow would you rate the overall quality of service that you received?Response Time*5 Stars4 Stars3 Stars2 Stars1 StarHow would you rate the speed in which we responded to your inquiry?Recommend*5 Stars4 Stars3 Stars2 Stars1 StarHow likely would you be to recommend our service to friends or family?Review*We love our customers and value your feedback. Please let us know all the things we got right and if there is anything we can do to improve our service.DisclosureConsent to use review* Yes, please use my review to help build Khushi Technologies. No, I'd rather not submit my review. By submitting this form, you agree that we may publish your review on our website in such a way as to showcase our customer testimonials. We respect our customers privacy and will only disclose your first name, last initial and the City & State in which you reside (ex: Marc S - Seattle, Washington). You may, at anytime, request that we remove your review from our website by sending an email to [email protected]NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.