Retail Experience Service Benchmark Survey Form
Help us benchmark and improve retail service quality by sharing your recent experience. Your feedback is valuable and will remain confidential.
Store Location or Branch Visited
*
Date of Your Visit
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How would you rate the helpfulness of the staff?
*
Not helpful
1
2
3
4
Extremely helpful
5
1 is Not helpful, 5 is Extremely helpful
How satisfied were you with the speed of service?
*
Very dissatisfied
1
2
3
4
Very satisfied
5
1 is Very dissatisfied, 5 is Very satisfied
How would you rate the cleanliness of the store?
*
Very poor
1
2
3
4
Excellent
5
1 is Very poor, 5 is Excellent
How was the availability of the products you were looking for?
*
Very poor
1
2
3
4
Excellent
5
1 is Very poor, 5 is Excellent
How easy was it to find what you needed in the store?
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How likely are you to recommend this store to others?
*
Not likely
1
2
3
4
Extremely likely
5
1 is Not likely, 5 is Extremely likely
What did you like most about your visit?
What could we improve for a better experience?
Submit Survey
Should be Empty: