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Customer Survey

Page One

1. Enter your receipt number so we can learn what our favorite customers love *This question is required. This question requires a valid number format.

2. What store were you visiting? *This question is required.

3. Did you receive a friendly greeting?

5. How often have you visited Lolli & Pops in the last 6 months? *This question is required.

6. Were you given the service or assistance you wanted during your visit? *This question is required.

8. Were you offered a refillable Lolli Jar to fill up with your favorite candy by the pound?

Please enter an 'other' value for this selection.

9. How likely is it that you would recommend Lolli and Pops to a friend or colleague? *This question is required.Pick a number on a scale from 0, not at all likely, to 10, very likely

Not at all likely	0	1	2	3	4	5	6	7	8	9	10	Very likely
	0	1	2	3	4	5	6	7	8	9	10

10. You scored us less than a 9 out of 10, what could we do to make you more likely to recommend us? *This question is required.

10. Do you have additional feedback or is there anything else you would like us to know? What was missing from our store selection?

11. Enter your email address for a chance to win a monthly $100 gift card giveaway from Lolli & Pops *This question is required. This question requires a valid email address.