Customer Feedback
Personal Info (optional)
First
Last
Phone
Would you like us to contact you?
Please fill in the
required
info located from your receipt.
Store #
Trn #
Reg #
Sales Associate #
Date
Email (required)
1. Did you leave our store happier than when you arrived?
Yes
No
Please explain.
2. Would you recommend our store/boutique to a friend?
Yes
No
Please explain.
3. How would you rate your experience, 10 being the best and 1 being the worst?
0
1
2
3
4
5
6
7
8
9
10
Please explain.
4. Any other comments?