SHOPPING EXPERIENCE FEEDBACK FORM

We value you and your shopping experience with us.   We welcome your feedback on how we are doing so we can make corrections to better serve you in the future.

We would love to answer any question(s) you may have or attend to any concerns about your shopping experience with us.   

If you would like to speak with the General Manager in person, call Mike Cleaver (714) 490-6100.  Please leave a message if he is not available and he will get back to you as soon as possible.  Thank You.

Your Name *
Your Name
This is important so we can reward or correct the employee that may or may not be a part of your feedback.
Your Contact Number (Optional)
Your Contact Number (Optional)
Date of Sale or Contact with Employee *
Date of Sale or Contact with Employee
This number is in the upper left area of your receipt: it says "Ticket #" and starts with either "1-xxxxxxx or "2-xxxxxx".