Welcome to the Church's Chicken Customer Satisfaction Survey. We value your candid feedback and appreciate you taking the time to complete our survey.

RequiredPlease enter the restaurant number located at the top of your receipt.

Please enter the check number located at the top of your receipt.

RequiredPlease enter the date located at your receipt

 

	April 2025
Su	Mo	Tu	We	Th	Fr	Sa
		1	2	3	4	5
6	7	8	9	10	11	12
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30

Upon completion of this survey you will be given a validation code that can be used to redeem the offer printed on your receipt.

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