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Welcome to the United States Carl’s Jr.^® and Hardee’s^® Customer Satisfaction Survey. We value your candid feedback and appreciate you taking the time to complete our survey.

Please enter the following pieces of information from your receipt.

Store Number: Input Store Number

Date: VisitDateMonth Month010203040506070809101112 / Day Day01020304050607080910111213141516171819202122232425262728293031 / Year Year20212022

Time: Hour Hour010203040506070809101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AM or PM --AMPM

Are you 18 years of age or older? Index_AgeVerification -- YesNo