Age
Family Income
Gender
Have you had contact with a store employee
Would you recommend the store?
Overall, are you satisfied with the store?
Store Location
Reason for shopping at store
Length of time as a customer
Customer Name
Overall satisfaction
Change in shopping our stores in last 6 months
Satisfaction with store 1-10
Plan on stop shopping our store
Discontinue due to move
3 months speak with employee
Performance: Managers Polite
Performance: Employees Polite
Performance: Check out clerks polite
Performance: Deliver in timely manner
Performance: Service promptly
Performance: Good value for money
Performance: Flexible Hours
Performance: Bills are clear
Performance: Convenient Cust Serv Hrs
Performance: Fun to Shop
Performance: Complete source of what I want
Performance: Prepared to meet my needs
Performance: Prepared for people like me
Performance: Well organized
Performance: Fulfils local needs
Performance: Attractive looking
Performance: Ads available
Performance: Trying to be better store
Performance: Well laid out/clear signs
Performance: Recycling resources available
Expectations
Problem with Prices
Asked for explanation when prices raised
Expectations: when prices should be raised
Zip code