Feedback Please enable JavaScript in your browser to complete this form.NameFirstLast(optional)Date of most recent visit. *What was the reason for your most recent visit? *GroceriesTake-out OrderSpecial Order PickupCheck all that apply.How would you rate your most recent experience? *Very DissatisfiedDissatisfiedNeutralSatisfiedVery SatisfiedWould you care to comment on your above rating?Leave blank if no comment.What did we do great?What could we improve on?What would you like to see in the future of Smith's Country Store?Submit