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 -- 2122
Time: Hour -- 010203040506070809101112 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 Meridiem -- 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