Date of visit:

Did we have what you were looking for? Pick One Yes No

If not, what items were you looking for

Were you offered timely assistance? Pick One Yes No

Were the sales associates:

Available Pick One Excellent Good Fair Poor
Knowledeable Pick One Excellent Good Fair Poor
Friendly Pick One Excellent Good Fair Poor

Product Selection Pick One Excellent Good Fair Poor
Product Quality Pick One Excellent Good Fair Poor
Cleanliness of the Store Pick One Excellent Good Fair Poor
Overall Satisfaction Pick One Excellent Good Fair Poor

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