Customer Feedback Form

1 Your Visit

2 Service

3 Overall

4 Your details

Thanks for visiting Kekuli Cafe!

Your feedback means a lot to us. It helps us provide you with the best food and service experience you deserve. Please take a few minutes to give us your suggestions.
When did you visit?
Date Format: MM slash DD slash YYYY
What time did you visit?

: HH

MM
and which location?*
Why did you choose Kekuli Cafe over another establishment?
What was your type of visit?
- Dining In
- To-Go
What did you order today?
- Coffee
- Food / Beverage
- Bannock

Your contact details - optional
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Verification
Name
This field is for validation purposes and should be left unchanged.

Thanks for visiting Kekuli Cafe!