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Exit Survey
 
 
Hello:
You are invited to participate in our survey. In this survey, approximately 100 people will be asked to complete a survey that asks questions about the store. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
How important are the following:
Not Important At All Somewhat Important Neutral Important Very Important
Quality of Products
Product Selection / Variety
Prices of Items Offered
Customer Service
Cleanliness of Store
Travel Time to Store
 
 
How well does the store meet your expectations for the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Quality of Products
Product Selection / Variety
Prices of Items Offered
Customer Service
Cleanliness of Store
Travel Time to Store
 
 
How satisfied are you with the following departments:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
Produce
Meat
Dairy
Bakery
Grocery
Coffee Shop
 
 
 
What items or types of items would you like to see added to our inventory?
   
 
 
 
In what way(s) would you like to see the store improve?
   
 
 
 
What is the primary reason you visit the store?
   
 
 
 
What is your age range?
 
Under 18
 
19 - 24
 
25 - 34
 
35 - 44
 
45 - 59
 
60 - 74
 
75+
 
 
 
Gender
 
Male
 
Female
 
 
 
Your home's distance to the store:
 
Less than 2 miles
 
2 - 4 miles
 
5 - 9 miles
 
10+ miles
 
Thank you for taking the time to complete this survey. We value your opinion tremendously and will use this information to better serve you.