First Name:

Last Name

Email

Date of Visit:

Time of Visit:

Server's Name:

How did you hear about DeBrand?

I'm a loyal customer

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If you selected "Other", please describe:

Which store location did you visit?

Auburn Park Drive

Coldwater Road

Jefferson Pointe

Downtown Fort Wayne

Indianapolis, The Shops at River Crossing

The store location I visited was...

Excellent

Good

Okay

Fair

Poor

Tell us about the overall cleanliness of the store, store ambiance, neatness of displays, employee attire, etc.

My service at DeBrand was...

Excellent

Good

Okay

Fair

Poor

Tell us about the friendliness of the employees, their level of knowledge and helpfulness, etc.

DeBrand products are...

Excellent

Good

Okay

Fair

Poor

How was the quality and presentation of your chocolates/desserts/drinks?

Rank your experience from 1-10 (10 being highest)

Comments:

Please let us know if you have any suggestions on how we can improve your next DeBrand experience.

Thank you for your feedback! Let's stay in touch...

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No, thank you

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