Customer Pastry Feedback Request Form
Please share your experience with our pastries to help us improve our products and service.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Which pastry did you try?
*
Please Select
Croissant
Danish
Eclair
Muffin
Tart
Other
How would you rate the following aspects of the pastry you tried?
*
Rows
Taste
Freshness
Appearance
Excellent
1
2
3
Good
4
5
6
Average
7
8
9
Poor
10
11
12
Rate the overall quality of the pastry
*
1
2
3
4
5
How satisfied were you with the customer service?
*
Not Satisfied
1
2
3
4
Very Satisfied
5
1 is Not Satisfied, 5 is Very Satisfied
How likely are you to recommend our pastries to others?
*
Not Likely
1
2
3
4
5
6
7
8
9
Very Likely
10
1 is Not Likely, 10 is Very Likely
Did you dine in or take away?
*
Dine In
Take Away
Would you like to try new pastry flavors in the future?
*
Yes
No
Maybe
What did you like most about the pastry?
Do you have any suggestions or comments for us?
Submit Feedback
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