Service Remarks

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.

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Your Contact Information

The actual person filling out this form.

First Name:

Last Name:

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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:

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Service Remarks

Company:

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

Comment:

Please include details regarding your service remark in this area including 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?

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