INDIVIDUAL SITE SURVEY

• Document No.

• SITE NAME

• Conducted on

  Date

• ASSESSOR NAME

• Location
  Address

• IF LOCATION DOES NOT WORK PLEASE PROVIDE SITE ADDRESS

• TELEPHONE NUMBER

• PICTURE OF SITE

  Media

SITE DETAILS:

• FUEL BRAND ?

  SHELL

  ESSO

• RETAILER PHONE :

• RETAILER EMAIL ADDRESS:

• MANAGER NAME

• MANAGER PHONE

• RETAILER NAME:

STORE DIMENSIONS EXTERNAL :

• HOW MANY PUMPS?

• COMMENTS AND CONDITION

• PICTURE OF PUMPS INCLUDING ANY ISSUES

  Media

• TANKS (NUMBER AND CONTENTS)

• TANK ISSUES AND COMMENTS

• AIR TOWER HOW MANY ?

• PICTURE OF THE AIR TOWER (S)

  Media

• ISSUES AND COMMENT FOR AIR TOWER(S)

• VACUUM (HOW MANY)?

• VACUUM

  Media

• VACUUM COMMENTS OR ISSUES

• JETWASH IS THIS COIN OR TOKEN

  COIN

  TOKEN

  PRINT OUT

• PICTURE OF JETWASH

  Media

• JETWASH COMMENTS AND ISSUES

• CAR WASH

  Yes

  No

  N/A

• PICTURE OF THE CARWASH

  Media

• ISSUES AND COMMENTS FOR CAR WASH

• DOES THE SITE HAVE AN ATM

  Yes

  No

  N/A

• IF YES IS IT FREE OR IS THER A CHARGE ? (IF SO HOW MUCH) (AND HOW MANY?)

• ATM PROVIDER (IF KNOWN)

• COAL BUNKER

  GOOD CONDITION

  POOR CONDITION

  NO

• NEWS STAND

  GOOD CONDITION

  POOR CONDITION

  NO

• COMMENTS AND ISSUES

• FORECOURT MATERIAL

  MONOBLOCK

  TARMAC

  CONCREATE

  MIXTURE

  OTHER

• PICTURE OF ANY ISSUES

  Media

• POLE SIGN HOW MANY AND CONDITION ?

• POLE SIGN WORKINGS

  MANUAL

  ELECTRIC

• PICTURE OF POLE SIGNS

  Media

STORE INTERNAL INFORMATION:

• PICTUR OF THE INTERNAL SHOP INC CEILING AND FLOOR

  Media

• CEILING CONDITION

  GOOD

  BAD

• FLOOR CONDITION

  GOOD

  BAD

• HOW MANY POS POINTS

• PICTURE OF THE STAFF SIDE OF THE POS AREA

  Media

• GENERAL SHOP COMMENTS AND ISSUES

• SHOP SIZE (ESTIMATED)

• GONDOLAS QUALITY AND CONDITION

• PROMO ENDS QUALITY AND CONDITION

• CHILLER SPACE FOR DRINKS QUALITY AND CONDITION

• CHILLER SPACE FOR FOOD / DAIRY QUALITY AND CONDITION

• ANY ICE CREAM QUALITY AND CONDITION

• STORAGE AREA COMMENTS

• PICTURE OF STORAGE AREAS INC ANY LOCKUPS

  Media

SERVICES

• ELECTRONIC SERVICES

  PAY POINT

  EPAY

  OTHER

  NONE

• NATIONAL LOTTERY

  YES

  NO

• LOTTERY INSTANTS

  YES

  NO

• AMSCREAN

  YES

  NO

• COFFEE OFFER

  COSTA

  NESCAFFE

  TCHIBO

  OTHER

  NONE

• PICTURE OF COFFEE OFFER

  Media

• FOOD OFFER COMMENTS INC SANDWICHES

• PICTURE FOOD OFFER INC SANDWICHES

  Media

• FROZEN FOOD?

  YES

  NO

• PICTURE OF FROZEN FOOD

  Media

• NEWS AND MAGS SUPLIER:

  SMITHS

  MENZIES

• PICTURE OF NEWS AND MAGS FIXTURE

  Media

• PICTURE OF OILS AND CAR CARE

  Media

• GENERAL COMMENTS ABOUT GROCERY

• PICTURE OF GROCERIES

  Media

• COMMENTS ABOUT HOUSEHOLD PRODUCTS

• Yes

  No

  N/A

• PICTURES OF HOUSHOLD PRODUCTS

  Media

• PICTURES OF BREADS AND CAKES

  Media

• COMMENTS ABOUT BREAD & CAKES

• PRICE BANDING ?

  A

  B

  C

  C+

3RD PARTY OPERATORS

• ANY 3RD PARTY OPERATORS COMMENTS

• 3RD PARTY OPERATORS PICTURES

  Media

VEEDOR ROOT

• VEEDOR ROOT SYSTEM MODEL:

• PICTURE OF VEEDOR ROOT PRINT OUT

  Media

TRADING INFORMATION

• GENERAL COMPETITION COMMENTS

• FUEL COMPETITORS AND KNOWN DETAILS

• WHAT IS THE PRICE OF FUEL TODAY?

• WEEKLY VOLUME

• WEEKLY GROSS SALES

• IS THE STORE 24HR OPERATION

  YES

  NO

• IF NO WHAT ARE THE STORE TIMES?

• DRIVE OFFS INFORMATION

• CUSTOMER BASE

  SERVICES

  TRANSIT

  NEIGHBOURHOOD

  MIXED

SECURITY

• GENERAL COMMENTS ABOUT SECURITY SYSTEM

CURRENT DEVELOPMENT OPPERTUNITY:

• IS THERE ANY LONG TERM OPPERTUNITES

• Add media

  Media

• IS THERE ROOM FOR A STARBUCKS DRIVE THRU?

  YES

  NO

• COMMENTS

• PICTURES OF POSSIBLE AREAS FOR STARBUCKS DRIVE THRU

  Media

• BUILDING EXPANSION / KNOCK DOWN

  YES

  NO

• COMMENTS

• PICTURES FOR BUILDING EXPANSION / KNOCK DOWN

  Media

ADDITIONAL COMMENTS AND PICTURES

• COMMENTS

• ADDITIONAL PICTURES

  Media