Tell us about your experience Details about your experience When did you visit Splash & Dash Car Wash? Receipt #: If you are commenting about one of our services/products, please list the specific service(s)/product(s): Tell us about your experience: Would you like for us to contact you? —Please choose an option—YesNo First Name: Last Name: Address: Apt. No.: City: State: Zip Code: Daytime Phone: Evening/Cell: Email: Gender: —Please choose an option—MaleFemale Age: —Please choose an option—16-2526-3536-50over 50 Make of Car: Model of Car: Year: What is the number one reason for coming to Splash & Dash Car Wash? —Please choose an option—PriceConvenienceQuality of Wash How did you hear about Lone Star Super Wash? —Please choose an option—OnlineCouponNewspaperFriendOther Cleanliness of facility? —Please choose an option—ExcellentGoodAveragePoor Appearance and attitude of employees? —Please choose an option—ExcellentGoodAveragePoor Cleanliness of car? —Please choose an option—ExcellentGoodAveragePoor How well did the cashier explain the wash menu? —Please choose an option—ExcellentGoodAveragePoor How satisfied are you with the amount of time it takes for your car to be cleaned? —Please choose an option—ExcellentGoodAveragePoor How can we improve our services? Please answer the following: How many times do you visit Splash & Dash Car Wash per month? What wash do you typically purchase?