Title Page

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  • Thank you for giving us the opportunity to serve you better. Please help us by taking a few minutes to tell us about the service that you have received so far. We appreciate your business and want to make sure we meet your expectations.

  • Customer Name (Optional)

  • Survey Date and Time

  • Click next section to continue.



  • Was the shop's appearance pleasant?

  • Was the service or product available?

  • Was your request addressed properly?

  • Was the staff friendly and accomodating?

  • Was the price of the product reasonable?

  • Did the cashier serve you in a timely manner?

  • Overall, are you satisfied with with your visit?

Comments and Suggestions

  • Please share with us a few things the product could do better.


  • Customer's Name (Optional)

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.