| Name * Required | |
|---|
| Nationality * Required | |
|---|
| E-mail address * Required | |
|---|
| Date of use * Required |
/
/
|
|---|
| who did you play with ? * Required |
|
|---|
| How many times have you used our store? * Required |
|
|---|
| What is the percentage of satisfaction? * Required |
% |
|---|
Today's payment amount
(Excludes room fees.) * Required | JPY |
|---|
| Attitude of reception staff * Required |
|
|---|
| Are there any other stores you frequent? |
|
|---|
| If so, why? | |
|---|
| comments to girls * Required | |
|---|
| Services that should be available at Lovely Hands | |
|---|
| Improvement points | |
|---|
| It was good point | |
|---|
