Name *

First Name

Last Name

Phone # - so we can contact you if you win Boutique Bucks *

(###)

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How helpful were our associates during your visits to our shop? *

Extremely

Very

Moderately

Not at all

How would you rate our selction of brands and quality of merchandise? *

Excellent

Good

Fair

Unsatisfactory

Would you like us to offer more gift and decorative household items? *

Yes

No

Do you agree that our hours are a good fit for you? *

Yes

I would like to see later hours (Please comment below)