Your comments are important to us! We want you to be pleased with the quality of products and service you receive from Brodericks flowers. Please take a moment to give us your honest evaluation of the overall quality of product and service we have provided. As our way of saying thanks, you'll be emailed a discount code for use on your next online purchase.

Order Number (If not available, please provide your last name.)

Your Email Address

What date did your receive your gift? Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Did your gift arrive in good condition? Yes      No

Was the delivery person courteous and presentable? Yes      No

Did you receive care or handling instructions for your gift? Yes      No

Was the enclosure card properly signed and addressed? Yes      No

How would you rate the overall appearance of your gift?
Excellent     Good    Fair    Poor

If you received flowers or a plant, please rate the freshness of the product.
Excellent     Good    Fair    Poor

What florist do you currently use?

Would you use Brodericks Flowers in the future? Yes      No

Your opinion is important to us! Do you have any other comments or thoughts you'd like to share with us in regards to the flowers or plant you received? Include them in the box below.


We occasionally send out special discounts or promotional offers to our customers via email. If you would like to receive an occasional email from us, please check this box.