<div class="wdform-page-and-images" style="display:table; border-top:0px solid black;"><div id="form_id_tempform_view1" class="wdform_page" page_title="Untitled page" next_title="Next" next_type="text" next_class="wdform-page-button" next_checkable="false" previous_title="Previous" previous_type="text" previous_class="wdform-page-button" previous_checkable="false"><div class="wdform_section"><div class="wdform_column"></div></div><div wdid="1" type="type_section_break" class="wdform_tr_section_break">%1 - custom_1%</div><div class="wdform_section"><div class="wdform_column"><div wdid="2" class="wdform_row">%2 - Please rate the speed of service you received during this visit:%</div><div wdid="3" class="wdform_row">%3 - Overall, please rate the quality of service that you received during this visit%</div><div wdid="4" class="wdform_row">%4 - Did you have any questions or concerns while you were visiting the Store?%</div><div wdid="5" class="wdform_row">%5 - Were your questions or concerns addressed to your satisfaction while you were visiting the Store?%</div><div wdid="6" class="wdform_row">%6 - Would you like a representative from the Store contact you regarding your concern?%</div><div wdid="7" class="wdform_row">%7 - If in the question above you indicated that you would like to be contacted by a representative of the Store, please provide your preferred telephone number below.%</div><div wdid="8" class="wdform_row">%8 - type_submit_reset_8%</div></div></div><div valign="top" class="wdform_footer" style="width: 100%;"><div style="width: 100%;"><div style="width: 100%; display: table;"><div style="display: table-row-group;"><div id="form_id_temppage_nav1" style="display: table-row;"></div></div></div></div></div></div></div>