Welcome to the Dairy Queen^® Customer Satisfaction Survey. We value your candid feedback and appreciate you taking the time to complete our survey.

Please enter the 10-digit phone number/code printed on your receipt/coupon.

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Enter the date of your visit.

-- 010203040506070809101112 / -- 01020304050607080910111213141516171819202122232425262728293031 / -- 1819

Enter the time of your visit.

-- 010203040506070809101112 : -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859   -- AMPM

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