Invoice TX #? *
What is your name?
What is your zip code? *
Phone Number *
How did you hear about our store?
What attracted you to our store?
Who assisted you with your purchase? *
How would you rate the in store service you received? *
Did a warehouse staff member assist you *
If yes, who assisted you? *
If yes, how did they assist you?
How would you rate the service you received? *
Any additional comments? i.e. improved customer service?, different or other product selection?, etc:
  or