Progress:

Please help us serve you and others better by completing our Guest Loyalty Survey. Answering the questions below should only take a few minutes. Your participation is completely voluntary.

At the end of this survey we're going to give you a validation code to fill in on your coupon, good for a free drink on your next visit to CiCi's, just as our way of saying thanks for participating.

Name:

Address:

Phone Number:

Email:

Store Code:

- How to find the store code?

Time of Visit:

(hh:mm AM or PM)

Date of Visit:

(MM/DD/YYYY)

Unclick this box if you do NOT wish to receive information about gainful opportunities to mystery shop Cici's Pizza locations.

*Answer the following questions based on your last visit to CiCi's*
	1. How likely would you be to recommend this CiCi's Pizza to a friend?

Not at All 1 2 3 4 5 Very Likely
	Comments: (Please explain any rating below a 4.)


	2. How likely would you be to return to this CiCi's Pizza?
Not at All 1 2 3 4 5 Very Likely

	3. Was this a Dine In or ToGo experience?
Dine In ToGo