Retail Experience Quality Control Survey
Help us improve by sharing your feedback on your recent retail visit.
Store Location
*
Please Select
Downtown
Mall Branch
Suburban Outlet
Airport Kiosk
Other
Date of Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Visit
Hour Minutes
AM
PM
AM/PM Option
How would you rate the cleanliness and organization of the store?
*
1
2
3
4
5
How satisfied were you with the availability of products you were looking for?
*
1
2
3
4
5
Staff Interaction Evaluation
*
Rows
Excellent
Good
Average
Poor
Friendliness
1
2
3
4
Helpfulness
5
6
7
8
Product Knowledge
9
10
11
12
Responsiveness
13
14
15
16
How long did you wait at the checkout counter?
*
Less than 2 minutes
2-5 minutes
5-10 minutes
More than 10 minutes
Was the checkout process smooth and efficient?
*
Yes
No
Did you find what you were looking for?
*
Yes, everything
Most items
Some items
No, not at all
Overall, how satisfied are you with your shopping experience?
*
Not Satisfied
1
2
3
4
5
6
7
8
9
Very Satisfied
10
1 is Not Satisfied, 10 is Very Satisfied
What did you like most about your visit?
What could we improve?
Submit Survey
Should be Empty: