Capt'n Chucky's Blue Bell Survey
RequiredRequired Question(s)
Required 1.
Did you visit Capt'n Chucky's Blue Bell?
In Person
On the Phone
Website Only
N/A
2.
If YES, when did you most recently visit us?
This Week
Last Week
Within the last month
Earlier than that
Please answer the following FOUR questions on a scale of 1 to 5 with:
5 being the Best experience, 3 being a Neutral experience, and 1 being the Worst experience
 
Required 3.
How would you rate your experience with regards to the freshness and quality of the food products you purchased at Capt'n Chucky's Blue Bell?
Worst Experience Below Average Experience Neutral Experience Good Experience Best Experience       
      
  • Comment:

  • 500 characters left.
Required 4.
How would you rate your experience with regards to the variety and pricing of the food products you purchased at Capt'n Chucky's Blue Bell?
Worst Experience Below Average Experience Neutral Experience Good Experience Best Experience       
      
  • Comment:

  • 500 characters left.
Required 5.
How would you rate your experience with the service level you experienced at Capt'n Chucky's Blue Bell?
Worst Experience Below Average Experience Neutral Experience Good Experience Best Experience       
      
  • Comment:

  • 500 characters left.
Required 6.
How would you rate your overall experience at Capt'n Chucky's Blue Bell?
Worst Experience Below Average Experience Neutral Experience Good Experience Best Experience       
      
  • Comment:

  • 500 characters left.
7.
Please share your email address to answer your comments, Enter into our contest, inform you of special promotions, and help provide you with the best experience in the future? 

First Name:
Last Name:
Email Address:
emailaddress@xyz.com

Thank you for taking the time to complete this survey,
Capt'n Chucky's Blue Bell