New Image Customer Survey
Name *
E-mail *
Date of your shopping trip *
MM
/
DD
/
YYYY
Amount of your purchase *
Was this your first time shopping with us? *
How did you hear about us? *
Was there adequate parking? *
Were you greeted as you entered the store? *
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? *
Did an employee offer to help you? *
If so, do you remember their name?
Would you shop here again? *
Any additional comments or suggestions on how we could improve?
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