This questionnaire aims to gather information about your produce return to help us process it efficiently and improve our quality control. Please answer all questions honestly and thoroughly.
(Optional, but helpful for follow-up)
Your Name (Optional)
Mobile Number (Optional)
Your Email Address (Optional)
Date of Return
Store Name
Store Address
Type of Produce being returned (e.g., Apples, Lettuce, Carrots)
Specific Variety (if known) (e.g., Gala Apples, Romaine Lettuce)
Quantity of Produce being returned
Price Paid for the Produce
Date you purchased the produce
Date you first noticed the issue
Please select the primary reason for your return (check all that apply).
Damaged/Bruised
Rotten/Moldy
Incorrect Item (wrong produce)
Poor Quality (e.g., taste, texture, appearance)
Infestation (e.g., insects, worms)
Not Fresh/Wilted
Other (please specify)
Please describe the issue with the produce in detail. Be specific about the location and extent of the problem (e.g., "Large bruise on one side of the apple," "Mold growing on the stem of the lettuce," "Carrots were soft and mushy"). If possible, please provide photos of the issue. (This is highly recommended for faster processing).
Photo (Optional)
How was the produce stored after purchase? (e.g., Refrigerator, Counter, Pantry).
For how long was the produce stored before the issue was noticed?
What resolution are you seeking?
Refund
Replacement
Other:
Please provide any additional comments or information you think is relevant to your return.
Thank you for your time and cooperation.
Form Template Insights
Please remove this form template insights section before publishing.
For a produce return questionnaire, the following questions should be considered mandatory:
These questions provide the basic information needed to process a return and understand the issue. While the other questions are helpful, they may not be essential for all returns.