Complete Survey And Get 50% Off

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are here to help you grow your business and the more we know about you the more we can help. Please complete this anonymous survey to help us understand our customers better. 50% off available for a limited time for select products only.

Have you purchased from Casey's in the last 6 months?

Yes

No, I am no longer selling products sold by Casey's

Clear selection

Please Rate Casey's In the Following Areas:

Very Dissatisfied

Dissatisfied

Satisfied

Somewhat Satisfied

Very Satisfied

Customer service

Timeliness of shipping

Quality of brands offered

Pricing

Quality of website

Products stock levels

Clear selection

Are there any changes would you like to see Casey's implement going forward?

Would you like us to contact you?

Please provide your email address

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Casey's Distributing, Inc..

Does this form look suspicious? Report

Forms