Feedback Questionnaire

Name of Parent/Guardian: *

First Name

Last Name

Child's Name Receiving the Cake: *

First Name

Last Name

Date of Celebration? *

MM

DD

YYYY

What type of cake did you receive? *

Dream Cake

Fun Cake

On a scale of 1 to 4, please select how satisfied you were with the Icing Smiles experience. *

4 (Exceeded Expectations)

3 (Satisfactory)

2 (Unsatisfied)

1 (Extremely Unsatisfied)

Did the cake you receive meet your expectations? *

Yes

No