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Guest Feedback
Contact Information
Name:
Phone:
Email:
Contact Address
Street:
City:
State/Province:
Zip/Postal Code:

Time & Date of Visit
Date Visited:
Approximate Time of Visit:

Requested Information
Who was your Barber?
How did you Hear About Us?
If other? Please explain:

Guest Satisfaction Survey
How would you Rate our Service?
How would you Rate Your Barber's skill and professionalism?
How did you like the Design and Atmosphere of our shop?
How would you Rate Our Establishment Overall?
How Likely Are You Return?
Suggestions?