Welcome to the Metro Market Customer Satisfaction Survey.

We value your candid feedback and appreciate you taking the time to complete our survey.

Please fill in the following information from your receipt.

Date:

Month -- 010203040506070809101112 / Day -- 01020304050607080910111213141516171819202122232425262728293031 / Year -- 2324

Time:

Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859   Meridiem -- AMPM

Store Number (4-digits):

CN1

Lane Number (2-digits):

CN2

Transaction Number (4-digits):

CN3