Welcome to the Kroger Customer Satisfaction Survey. Load Accessibility Friendly Version Please fill in the following information from your receipt. Date: Time: -- 01 02 03 04 05 06 07 08 09 10 11 12 : -- 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 -- AM PM Entry ID: - - - - - I do not have a survey Entry ID on my receipt. Español SMG Privacy Policy SMG Terms of Service Sweepstakes Winners Sweepstakes Rules Privacy Policy © 2021 SMG. All rights reserved.