Front Our Logo – Lollicup Fresh How did we do today? We value your comments about your experience at Lollicup Fresh. Please help us improve by taking a few moments to complete this short survey. We will give you a Free 16oz drink*! Store Visited: □ Brea □ Diamond Plaza □ Riverside □ West LA Time of visit _____/ _____/______ (mm/dd/yy) ________________(am/pm) Please indicate your age range: □18 or below □18 - 28 □ 28-38 □40 or above Join our FiveStars rewards program and you’ll be the first to know about special promotions and events. Name: (first)_________________(last)_________________ Cell :(_________)_________________________ Email: ________________________@_________________ Date of Birth: ______mm ______dd (we will not share customer information) Stay connected with us: Website | Facebook | Twitter | Instagram | Yelp *Please continue on the back of this survey

Back 1.How did you hear about us? □Word of mouth □Walk-in □Social Media (eg: Facebook/Twitter) □Magazine/Newspaper □ Friends/Family members Other: _________ 2. How often do you visit us? □This is my first time □Once a week □More than once a week □Bi-weekly □About once a month Other: ________________ 3. How would you rate your customer service satisfaction with us? □Excellent □ Satisfactory □Fair □Poor Other: _______________ 4. How would you rate the overall taste and flavor of the drinks? □Excellent □ Satisfactory □Fair □Poor Other:________________ 5. How would you rate the overall taste and flavor of the food? 6. How would you rate the wait time for picking up your order? □Very fast □ Reasonable □Slow □ Unacceptable Other: ____________ 7. How would you rate the atmosphere (music, décor, cleanliness, etc.)? □Excellent □Satisfactory □Fair □Poor Other _____________ 8. What is (are) the most important factors that made you choose to visit? □Quick service □Quality of drink or food □Price / Promotion □Friendly staff Other:_______________ Anything else that you would like to share with us? __________________________________________________________ We appreciate you taking the time to complete this survey. Please submit to our staff and receive one 16oz drink* on us! ( * free drink includes black tea, green tea, milk tea, jasmine green milk tea or Thai tea) Thank you for your time and feedback!