Contact Information

Name:


Address:


City, State, Zip:
Lousianna North Carolina Texas Wyoming

Phone number you used to place your order:


Email:


City of the Mr. Jim's:
Please select a store... Kenner, LA (2424 Williams Blvd Suite E) Charlotte, NC (1603 West Blvd ) Aledo, TX (108 S Ranch House Rd ) Allen, TX (410 N Greenville Ave ) Anna, TX (701 W White Street #3) Arlington, TX (2430 N Davis Dr ) Arlington, TX (5010 Kelly Elliot Rd ) Arlington, TX (5409 S Collins St ) Aubrey, TX (928 S Highway 377 ) Azle, TX (818 Boyd Rd #105) Breckenridge, TX (3121 W Walker ) Burleson, TX (333 SW Wilshire Blvd #B) Carrollton, TX (2150 N Josey Ln #238) Carrollton, TX (3108 Old Denton Rd #102) Cedar Hill, TX (241 E FM 1382 #316) Colleyville, TX (1001 Glade Road ) Dallas, TX (19021 Midway Rd #500) Denison, TX (2731 W Morton #102) Desoto, TX (340 E Beltline Rd ) Duncanville, TX (670 Big Stone Gap ) Eastland, TX (1001 E Main St ) Ennis, TX (305 SW Main St ) Farmersville, TX (604 State Highway 78 N ) Forney, TX (425 Pinson Rd #E) Fort Worth, TX (6548 Boca Raton ) Fort Worth, TX (8651 Camp Bowie W ) Frisco, TX (7227 Main St #201) Glen Rose, TX (1207 NE Big Bend Trl ) Granbury, TX (2145 E Hwy 377 ) Grand Prairie, TX (1604 NW 19th St ) Grand Prairie, TX (3007 S Carrier #207) Grapevine, TX (230 N Main St ) Haslet, TX (101 FM 156 ) Houston, TX (8475 Highway 6 N Suite C) Irving, TX (3010 N Beltline Rd ) Irving, TX (1215 W Shady Grove Rd ) Justin, TX (950 Highway 156 #8) Keller, TX (705 S Main St ) Lancaster, TX (1009 West Pleasant Run ) Little Elm, TX (800 W Eldorado Pkwy #118) Mansfield, TX (2399 Matlock Rd ) McKinney, TX (1720 W Eldorado Pkwy ) Melissa, TX (2212 Sam Rayburn Hwy #400) Midlothian, TX (304 W Avenue F ) Mineral Wells, TX (1100 SE 1st St ) Plano, TX (3115 W Parker #570) Plano, TX (2357 North Jupiter ) Princeton, TX (501 E Princeton Dr #101) Quanah, TX (1210 W 11th St ) Red Oak, TX (205 S Main St #1004) Roanoke, TX (500 N Highway 377 #F) Rowlett, TX (5326 Lakeview Pkwy ) Saginaw, TX (1029 N Saginaw Blvd ) Sherman, TX (705 E Taylor #1) Spring, TX (22772 Cypresswood Dr ) Springtown, TX (417 Hwy 199 E #7) Stephenvile, TX (2127 W Washington ) The Colony, TX (6700 Main Street #148) Vernon, TX (4113 Hillcrest ) Waxahachie, TX (401 Highway 77 ) Weatherford, TX (701 Palo Pinto Rd #J) Wylie, TX (213 N Ballard Ave ) Cheyenne, WY (453 Vandehei Ave #180)

General Survey Questions

Did your order come in an official box, with our logo on it?
Yes
No

Why did you choose Mr. Jim's today? (choose as many as apply)
I got a coupon in the mail.
I got a coupon on my door.
I saw your TV ad.
My friend recommended it.
I looked in phone book.
I went to your website.
I have ordered Mr. Jim's Pizza before and I like it.

How did you place your order?
I placed the order online and had it delivered.
I called in the order and had it delivered.
I placed the order online and went to pick it up.
I called in the order and went to pick it up.
I ordered in person at the store and picked it up.

What did you order? (choose as many as apply)
Pizza
Jim Stix
Nacho Stix
Wings
Drinks
Salad
Pasta
Sub

Did you enjoy your meal?
Yes, it was excellent.
It was pretty good.
It wasn't exactly what I ordered.
It wasn't at all what I ordered.
It didn't taste right.
I was very unhappy with it.

Did you receive a menu with your order?
Yes
No

If your meal was anything short of excellent, please tell us why.

Overall Satisfaction Questions

How do feel about the value of your Mr. Jim's dining experience today?
It was great and better than expected, I will order again.
It was okay, I may order again.
It was partially okay, but not what I expected.
It was unfair.

How did you enjoy your total dining experience?
It was excellent!
It was okay, nothing was wrong.
I was somewhat disappointed.
I was very disappointed.

On a scale of 0-10, with 10 being the highest and 0 being the lowest, how likely are you to recommend Mr. Jim’s to a friend or colleague?
Please select an option... 10 9 8 7 6 5 4 3 2 1 0

If your total dining experience was anything less than excellent, please use the box below to tell us why. Were you over charged? Was there something you ordered you didn't get? Was someone discourteous? I would like to try and get our operation corrected.

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