Welcome to the Sierra Customer Satisfaction Survey. We value your candid feedback and appreciate you taking the time to complete our survey.

Please enter the following information located on your receipt.

Survey number: InputSurveyNum

Store number: InputStoreNum

Date: VisitDateMonth -- 010203040506070809101112 / Day -- 01020304050607080910111213141516171819202122232425262728293031 / Year -- 20222023

Time: Hour -- 000102030405060708091011121314151617181920212223 : Minute -- 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859

Upon completion of this survey, you will be given the opportunity to enter our sweepstakes. To be eligible, you must be a legal resident of the United States and 18 years of age or older. To view the official sweepstakes rules, click on the link at the bottom of the page.