Scooters Chicken

We at Scooters Chicken value your comments and need them to help make your dining experience XTREMELY pleasant. Thank you for your input.

About You	*required info
Name*
E-mail*
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Phone Number

About the Store
Store State*
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About Your Experience
How did you hear about us?
Was the store clean?	yes no
Time of Day:	lunch dinner late night
Employee Name:
Comments:

Do you want Scooters Chicken to contact you?	yes no