Mystery Shopping Data Collection Form
Record structured observations from your mystery shopping visit.
Visit date and time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Store or location
*
Visit channel
In-store
Phone
Website or app
Shopper or assignment code
Assigned scenario or task
*
Task outcome
Completed
Partially completed
Not completed
Wait time (minutes)
Service evaluation
Rows
Needs improvement
Meets expectations
Exceeds expectations
Courtesy
1
2
3
Staff knowledge
4
5
6
Professionalism
7
8
9
Product or service availability
Available
Partially available
Unavailable
Not applicable
Observations and overall experience
Submit
Should be Empty: