Name:
City:
State:
E-mail:
Age:
 

Heard about this site from?
Internet Ad Newspaper Ad
Local Store Friends or Family
TV Radio
Product Box Other


Do you live near a store that carries our pizzas?
Yes No


If yes, which store?

If no, how far would you be willing to travel for our pizzas?

Have you tried Heavens' Bistro Products?
Yes No

Which products you have tried, and how you would rank each product? (1=Worst 5=Best)
BBQ Chicken
1 2 3 4 5
Turkey Pepperoni 1 2 3 4 5
Grilled Vegetable 1 2 3 4 5
Three Cheese 1 2 3 4 5
Chicken Sausage 1 2 3 4 5

Do you excercise regularly?
Yes No

What is your favorite type of food?

What products would you like to see us create?


What stores do you shop at?


Other comments you may have?
 


 
 
 
Heavens' Bistro
20711 Wild Springs Drive
San Antonio, TX 78258		 Phone: (210) 545-0957
Fax: (800) 667-2558
Site Developed and Maintained by
KillerGrafix, Inc.