Title Page
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Venue:
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Location:
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Conducted on:
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Prepared by:
General Questions
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(Upon arrival) Please indicate whether the following statements are true:
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There is adequate parking near the building.
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There were visible signs that directed me to the entrance.
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Upon entering, was the bar area tidy & welcoming?
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Was there a bar person present?
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Did the person greet you?
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Did the receptionist/staff person:
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Make eye contact with you?
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Ask how he/she could help you?
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Serve you promptly and efficiently?
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Was there a resource staff member present?
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How friendly were staff (0 being lowest & 5 highest) ?
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Werethe staff members wearing appropriate uniform?
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Are you satisfied with the waiting time when you asked for help?
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Please indicate whether the following statements are true about your interaction with staff members:
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He/she gave me an overview of available products/services?
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He/she offered special promos? was there an upsell?
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He/she followed up and asked if I had questions?
Rate the Staff Member/s
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Please rate the resource staff member on the following service attributes:
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Attentiveness
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Availability
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Courteousness
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Friendliness
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Helpfulness
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Level of knowledge
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Professional appearance
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Professional behavior
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How well he/she made me feel comfortable?
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How well he/she explained things in a clear manner?
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How well he/she treated me with respect?
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How well was the question was answered?
Services
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After spending time in the store/shop and using the services offered, please indicate how satisfied or dissatisfied you were with the following service aspects:
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Staff's knowledge about services
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Staff's knowledge about pricing
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How was the waiting time before you received the service?
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How was the service?
Environment
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Please rate the venue on the following:
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Visual appeal
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Welcoming environment
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How well it was organized
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Lighting/ambience
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Music
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Cleanliness
Overall Impression
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What was your overall impression of the shop/store/center?
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What specifically was done well or impressed you? (Please list specific examples.)
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What could be considered opportunities for improvement? (Please list specific examples.)
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Do you have anything else you'd like to add, including any clarifications of previous responses?
Completion
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Full Name and Signature of Respondent
