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How would you rate your level of satisfaction with us?
Highly dissatisfied Somewhat dissatisfied Neutral Somewhat satisfied Highly satisfied
 
 
 
How likely is it that you would continue visiting our store?
 
Very unlikely
 
somewhat unlikely
 
Neutral
 
Somewhat likely
 
Very likely
 
 
 
How likely would you be to recommend us to a friend or colleague?
Very unlikely Somewhat unlikely Neutral Somewhat likely Very likely
 
 
 
Are there specific items that you would suggest more than others?
 
Yes
 
No
 
 
 
What suggestions do you have or improvements would you like to see made?
   
 
 
 
How are the prices comparable to other stores?
   
 
 
 
Please rate the cleanliness of our store.
 
Clean
 
Very Clean
 
Neutral
 
Dirty
 
Needs a little attention
 
 
 
Please rate your cashier's customer service.
 
Smiled
 
Friendly
 
Neutral
 
Mean
 
Didn't smile
 
Other
 
 
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