Customer Service Survey
RequiredRequired Question(s)
This survey will help us determine what we can do to improve our stores and the experience of every shopper.  Thank you for taking the time to fill out this survey.
 
1.

The date and time of your experience at our store.

 

50 characters left.
Required 2.

What store is this survey based on?

Bowling Green
Bryan
Defiance
DeVeaux
Findlay
Napoleon
Navarre Ave.
Ottawa
Reynolds Rd
Secor Rd.
Tiffin
Wauseon
Whitehouse
3.
Rate overall store level of cleanliness.
Poor Fair Good Great        
       
4.
Rate your overall experience in our store on this visit
Poor Fair Good Great        
       
  • Comment:

  • 500 characters left.
5.

Please answer the following questions about this store's customer service.

 Yes No    
Were you greeted upon entering the store?    
Was your wait at the register acceptable?    
Was your cashier friendly?    
Were you asked to Round Up your purchase to support our Mission?    
Were you thanked for your purchase?    
Did you receive a receipt with your purchase?    
6.

Please rate the following questions about this store's merchandise.

 Poor Fair Good Great  
Do you feel the pricing is fair?  
Do you feel the pricing is consistant?  
Overall quality of merchandise?  
Overall quantity of merchandise?  
7.
Please rate the following in terms of their importance when shopping with us.
 Strongly Disagree Somewhat Disagree Neutral Somewhat Agree Strongly Agree 
Supporting our Mission
Value for the price
Prices
Product selection
Product quality
Cleanliness
Promotions and specials
Friendly staff
8.
Which of the following ways do you prefer we communicate with you? Please select all that apply.
Facebook
Email
Message on the website
Twitter
Other  
9.
How often do you use the following social media sites?  Please select all that apply.
 Once a Day Once a Week Once a Month Almost Never  
Facebook  
Twitter  
Pinterest  
Instagram  
Linkedin  
10.
Who do you typically shop for when you shop with us? Please select all that apply.
Myself
A close friend/relative
A business contact/Resale
Kids
Other  
11.
What would you like to see MORE of in our stores?
 

350 characters left.
12.

What would you like to see LESS of in our stores? 

 

350 characters left.
13.
What can we do to better meet your needs?
 

350 characters left.
14.
Please tell us your age.
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 and over
Prefer not to answer
15.
Please provide your contact information.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code: