Please tell us the number of visits to our store.
Please tell us the average age of your visitors.
Please tell us what kind of opportunity did you know about our shop. It would be appreciated if the specific content could be filled out in the Other column. In case of introduction, please tell us the name of the introducer if you do not mind (please fill in the other fields).
We will suggest food tailored to your drink, so please choose your favorite drink. (※ You can select more than one)
Please fill in if you have the desired food.