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Customer Survey Questionnaire

We would like to hear your comments about your experience at our stores or on our web site. Please let us know how we could serve you better or tell us about a positive experience at our stores.
1. Which Farm & Home location did you visit?
  Quincy
Jerseyville
Jacksonville
Keokuk		 Pittsfield
Springfield
Hannibal
Please rate us on: Excellent Good Fair Poor
  2. Desired Item in Stock
  3. Customer Service
  4. Speedy, Friendly Checkout
  5. Your Overall Experience
Name (optional)
Address
City, State, Zip
Email
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