Features Survey

1
What's your age range? It is not required, but will help us provide a wider range of service options for everyone
Please Select
Please Select
18 - 24
25 - 31
32 - 38
39 - 45
46 - 52
53 - 59
60 - 66
67 - 73
74 - 80
81 - 87
88 - 94
95 - 101
101+ please let us know your secret
2
On average, how many times a month do you visit Bethlehem Mexican Bakery?* This field is required.
Please Select
Please Select
1
2
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5
6
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10
11
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31
3
If given the option, would you sign up for a rewards program to earn points on each purchase?* This field is required.
YESNO
4
Would you benefit from having the option to order online ahead of time for pickup?* This field is required.
YESNO
5
What do you typically visit us for?* This field is required.Select all that apply
Bread
Food
Cakes
6
Is there any other feature or service that you'd like to see us implement?* This field is required.
YESNO
7
Can you briefly describe the feature please?* This field is required.
Should be Empty: