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Pepper in some feedback! Please take a few minutes to complete this survey as your feedback is very important to us, and you could win $1000.*

Date:
Check Number:  
Survey Code:
Total Bill Amount:

Server Name (if available):

*No purchase necessary. Only one entry per code. Void where prohibited. View sweepstakes rules for details. Click here to see previous winners. Please note, cookies must also be enabled in order to complete this survey. If you experience any difficulties with this survey please visit the Frequently Asked Questions page, and if you require further assistance, please click here to email the Guest Relations Department. Information collected in this survey will not be provided to any third-party vendors unless you opted to participate in additional research or promotions; otherwise please view our Privacy Policy for more details.

**Note: If your receipt has a 4 digit code and your visit was in the United States and not at an airport location, the correct website is: www.tell-chilis.com. If you have a 4 digit code and you visited an airport location within the United States, the correct website is: www.talktochilis.com. If you have a 4 digit code and your visit was outside the United States, the correct website is: www.go-chilis.com

**Note: Brinker International is a licensee of Empathica, which is the research supplier that manages the guest sweepstakes and survey process. Brinker teammembers and their immediate families are not eligible for the $1,000 daily sweepstakes.

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