First Page

* 1. What is your Zip Code?

* 2. Please use the sample receipt below to find the Inventory number (Inv#) and Transaction number (Trs#) from your receipt

Penn Dutch receipt example with Trs# and Date circled

* 3. At which store did you shop today?

* 4. Was this your first visit to Penn Dutch?

* 5. What prompted your visit today?

* 6. Did you find everything you needed during today's visit?

* 7. Did you visit the Seafood department today?