Order Number (Found on the back of your enclosure card.)

Your Email Address

What date did the flowers or plant arrive? Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Did your arrangement or plant arrive in good condition? Yes      No

Was the delivery person presentable and courteous? Yes      No

Was the enclosure card properly addressed and signed? Yes      No

How would you rate the overall appearance of your plant or flowers?
Excellent     Good    Fair    Poor

How would you rate the freshness of your flowers or plant?
Excellent     Good    Fair    Poor

What florist do you currently use?

Would you use Fields Flowers in the future? Yes      No

Your opinion is very important to us! Do you have any other thoughts or comments you'd like to share with us in regards to the plant or flowers you received? Please include them in the box below.


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