Rate Our Service
We appreciate your feedback! Please fill out the following information.
Your Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Date of Visit
*
-
Month
-
Day
Year
Date
Location Visited
*
810 Phoenix Ave, Fort Smith, AR 72901
1520 Fayetteville Rd, Van Buren, AR 72956
3015 Towson Avenue, Fort Smith, AR 72901
How did you hear about us?
Who Helped You? (Short Answer)
Rate our service in each of the following areas. 1 is poor, 5 is excellent.
Our Store
Appearance: Was the store overall clean and presentable:
*
1
2
3
4
5
Waiting Area: Was the waiting area clean and comfortable?:
*
1
2
3
4
5
Store Hours: Were the store hours convenient?:
*
1
2
3
4
5
Our Employees
Helpful: Was it easy to get help when you needed it?
*
1
2
3
4
5
Knowledgeable: Did our employees know what they were talking about?
*
1
2
3
4
5
Prompt and Courteous: Were our employees attentive?
*
1
2
3
4
5
Our Goods
Quality:
*
1
2
3
4
5
Competitive Price:
*
1
2
3
4
5
Comments/suggestions?
May we contact you?
*
Yes
No
Send Feedback
Should be Empty: