Welcome to the Cafe Rio Guest Satisfaction Survey. We value your candid feedback and appreciate you taking the time to complete our survey.

Please enter the following pieces of information from your receipt.

3-digit store number

Date -- 010203040506070809101112 / -- 01020304050607080910111213141516171819202122232425262728293031 / -- 20202021

Time -- 010203040506070809101112 : -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859   -- AMPM

Check number

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