Customer Feedback Survey Customer Survey Name(Required) First Last PhoneEmail Select a Location(Required)Select a store location1032 N Pacific Hwy Woodburn, OR 970711333 OR-99 Eugene, OR 97402628 Lancaster Dr NE Salem, OR 97301304 SE Hwy 101 Lincoln City, OR 973672158 Lancaster Dr NE Salem, OR 973052207 Washburn Way Klamath Falls, OR 97603561 SW 4th St Madras OR, 97741500 E 4th St Medford, OR 97501523 SE Baker St McMinnville, OR 971281621 NE Baker St McMinnville, OR 97128Date(Required) MM slash DD slash YYYY Are you a Rewards Member? Yes No Rate our customer service(Required)Please enter a number from 1 to 10.Rate our rewards program(Required)Please enter a number from 1 to 10.Feedback(Required)Product SuggestionsAny products you would like to see us carry?How can we improve?(Required)
