Retail Experience Completion Survey
We value your feedback! Please share your thoughts about your recent visit to help us improve our retail experience.
Full Name
First Name
Last Name
Email Address
example@example.com
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Store Location Visited
*
Please Select
Downtown
Mall Branch
Suburban Outlet
Other
Overall, how satisfied were you with your retail experience?
*
1
2
3
4
5
Please rate the following aspects of your visit:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Staff Friendliness
1
2
3
4
5
Cleanliness of Store
6
7
8
9
10
Product Availability
11
12
13
14
15
Checkout Process
16
17
18
19
20
Ease of Finding Products
21
22
23
24
25
How likely are you to recommend our store to others?
*
Not likely at all
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not likely at all, 10 is Extremely likely
What was the main purpose of your visit?
*
Buying specific items
Browsing
Returning an item
Seeking assistance
Other
Did you find everything you were looking for?
*
Yes
No
Partially
How would you rate the value for money of the products you purchased?
1
2
3
4
5
Please share any additional comments or suggestions to help us improve.
Would you like to be contacted about your feedback?
Yes, please contact me
No, thank you
Submit Survey
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