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Customer Feedback Survey
We appreciate your feedback! Survey participants will be entered to win once a month, regardless of the number of entries and are eligible to win once a year.
*
1.
What is the store ID?
(Required.)
*
2.
What is your receipt slip number?
(Required.)
*
3.
What is your gender?
(Required.)
Female
Male
Non-binary/Third gender
Prefer not to say
Prefer to self-describe
*
4.
What is your age?
(Required.)
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65+
Prefer not to answer
267%