Personal Info (optional)


First  
Last  
Phone  

(Example: 222-333-4444)
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?     
    Please explain.



2. Would you recommend our store/boutique to a friend?     
    Please explain.



3. How would you rate your  experience, 10 being the best and 1 being the worst?    
    Please explain.




4. Any other comments?