Service Remark Form

Do you have a comment regarding a service experience you have had in Rochester, MN? Please complete the following information and once you have completed your submission, you will be contacted by a representative from the corresponding business. Thank you.

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Your Contact Information

The actual person filling out this form.

First Name:

Last Name:

Preferred Method of contact:

Email:

Phone:

Would you like us to contact you in response to this remark?

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Guest Information

If you are filling this out on behalf of someone, please enter their information here.

First Name:

Last Name:

Preferred Method of contact:

Email:

Phone:

Would you like us to contact you in response to this remark?

Yes No

Company:

Please select the name of the Rochester business for which you are submitting a service remark.

Comment:

We value your feedback. Please include details such as the time of day you are commenting about, the staff with whom you interacted with during this experience, and your reason for submitting a remark.

Do your comments contain a complaint?

Yes No

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Rochester Experience Accreditation

Service Remark Form

Your Contact Information

Guest Information