New Image Customer Survey

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Name *

E-mail *

Date of your shopping trip *

YYYY

Amount of your purchase *

Was this your first time shopping with us? *

Yes

How did you hear about us? *

Was there adequate parking? *

Yes

Were you greeted as you entered the store? *

Yes

Please rate us in the following areas:

Cleanliness *

Employee Friendliness *

Well Stocked with merchandise *

Fast Service *

Cashier's Name (it's on your receipt) *

Did you find the item you were looking for? *

Yes

I wasn't looking for anything in particular, but still found some cool stuff!

Did an employee offer to help you? *

Yes

If so, do you remember their name?

Would you shop here again? *

Yes

Any additional comments or suggestions on how we could improve?

Submit

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