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Store Evaluation Survey

* Required fields
Name *
E-mail Address *
Type of Store *
Name of the Store *
Business Address
City *
Other
State *
Zip Code *
How often do you visit this store? *
Rate how you feel about the number of product selection: * 1
2
3
4
5
6
7
8
9
10
________________________
Rate how you feel about the prices of the store or business: * 1
2
3
4
5
6
7
8
9
10
How satisfied are you with product availability? *
Rate the overall quality of the product: * 1
2
3
4
5
6
7
8
9
10
_________________________
Rate the availability of the staff: * 1
2
3
4
5
6
7
8
9
10
_________________________
Rate the knowledge of the staff: * 1
2
3
4
5
6
7
8
9
10
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Rate the helpfulness of the staff: * 1
2
3
4
5
6
7
8
9
10
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Rate the Check-Out procedure: * 1
2
3
4
5
6
7
8
9
10
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Rate the ease in finding items in the store: * 1
2
3
4
5
6
7
8
9
10
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Rate the delivery of the service: * 1
2
3
4
5
6
7
8
9
10
_________________________
Rate the overall in-store experience: * 1
2
3
4
5
6
7
8
9
10
Are you satisfied to the point you would visit the store again? *
Would you recommend this store to a friend or neighbor? *
Do you have any additional comments you would like to share?

I have read and agree to the Privacy Policy *

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