Curbside Service Customer Feedback
Please take a moment to share your experience with our curbside service. Your feedback helps us improve our service.
Full Name
*
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Service
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate your overall curbside service experience?
*
1
2
3
4
5
Which aspects of our curbside service were you satisfied with? (Select all that apply)
Speed of service
Staff friendliness
Order accuracy
Ease of pickup process
Safety measures
Other
Do you have any suggestions or comments to help us improve?
May we contact you for follow-up regarding your feedback?
*
Yes
No
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