Please Give Us Feedback

We here at Japanese Cultural Haven appreciate all the feedback and advice that customers have for us.

Customer Information

Name*

Street address

City

Postal code

Phone Number

E-Mail*

How many items in your home are from Japan?

Add me to your mailing list for great coupons and specials!

Share Your Experience at Japanese Cultural Haven

Date of visit

Where did you hear about us?
(select all that apply)

Was your service friendly?

Yes No

Was your order correct?

Yes No

Are you satisfied with your order?

Yes No

Rate the overall service
(0=poor; 10=great) 0 10

Tell us more about your experience!