Welcome to the Foodland Customer Survey. We value your honest feedback and appreciate you taking the time to share your recent experience with us.

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Please enter the following information from your receipt.

Please enter your survey code following the format you see on your receipt. The amount of digits entered in each box should match your receipt. Do not enter any dashes or spaces.

Date: Month -- 010203040506070809101112 / Day -- 01020304050607080910111213141516171819202122232425262728293031 / Year -- 2324

Time: Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859   Meridiem -- AMPM

Maika'i #: Input Maika'i Number

Survey Code:

Input digits 1-2 of survey code - Input digits 3-4 of survey code - Input digits 5-7 of survey code - Input digits 8-11 of survey code - Input digits 12-15 of survey code

Upon completion of this survey, you will receive 200 Maika'i points (Limit 200 points every 30 days).