Thank you for taking the Rising Phoenix Tattoo survey. We will try to use this information to keep Rising Phoenix Tattoo the best body art studio in the Midwest. Please sign up for our e-mail list. Occasionally we will send you info on new designs, jokes, stories, or even discount coupons on anything we do. Thank You.

Male
Female

Age

Where do you live

Are you tattooed?
Yes    No

If yes who tattooed you?

Are you pierced?
Yes    No

If yes who did your piercing?

How did you hear about Rising Phoenix Tattoo and Professional Body Piercing?
Check all that apply

 

  1. Been tattooed here
  2. Friend tattooed here
  3. Been pierced here
  4. Friend pierced here
  5. Television
  6. Radio
  7. Phone Book
  8. Seen one of our t-shirts
  9. Web surfing

May we capture your name and e-mail address?
Yes    No

Name

E-Mail

 

What do you think of this web site?

This list will not be sold or given to anyone. It is for the exclusive use of Rising Phoenix Tattoo. Occasionally you will be e-mailed a joke, short story, info on new designs, web site updates or even discount coupons.