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In-Store Shopping Survey
Required Required Question(s)
1.
How often do you visit our retail store?
Once a week
Once a month
Once every 3 months
Once every 6 months
Once a year
2.
When did you last visit our store?
In the past week
In the past month
In the past 3 months
In the past year
3.
The last time you visited, why did you visit our store?
Just browsing
To buy something for myself
To buy a gift
To compare products
Other  
4.
Overall, how satisfied were you with your last shopping experience?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
5.
The last time you visited our store, did you...
Buy exactly what you were looking for
Buy something in addition to what you were looking for
Buy something other than what you were looking for
Buy nothing
6.
Please indicate the degree to which you agree/disagree with the following statements on our customer service.
 Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree 
Our staff is professional
Our staff does not interfere and/or provide unsolicited advice
Our staff does not pressure you to make a purchase
Our staff is attentive to your needs
Our staff is courteous and polite
Our staff is receptive to your post-purchase needs
  • Comment:

  • 500 character(s) left.
7.
Please indicate the degree to which you agree/disagree with the following statements about our store and products.
 Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree 
The store location is convenient
The store has a neat and clean appearance
The layout of the store makes it easy to shop
The store offers a good variety of products
The quality of products offered matches my expectations
The products are reasonably priced
8.
How likely is it that you would recommend our company to a friend or colleague?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
9.
How likely are you to shop at our store again?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
10.
Do you have any suggestions for improvement?
 

  • 350 character(s) left.
Required 11.
Please enter the information indicated below.
First Name:
Last Name:
Email Address:
emailaddress@xyz.com