Welcome to the Kroger Customer Satisfaction Survey.

Load Accessibility Friendly Version

We value your candid feedback and appreciate you taking the time to complete our survey.

Please fill in the following information from your receipt.

Date: VisitDateMonth -- 010203040506070809101112 / Day -- 01020304050607080910111213141516171819202122232425262728293031 / Year -- 2223

Time: Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859   AM or PM -- AMPM

Store Number (4-digits): Input digits 1-4 of the store number

Lane Number (2-digits): Input digits 1-2 of the lane number

Transaction Number (4-digits): Input digits 1-4 of the transaction number