How satisfied were you with your recent shopping experience at our store?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
How would you rate the cleanliness of our store?
Very clean Clean Average Not very clean Dirty
Did our staff meet your expectations in terms of helpfulness and friendliness?
Exceeded expectations Met expectations Somewhat below expectations Below expectations Far below expectations
How satisfied were you with the variety of products available in our store?
Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied
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Name
Email
Phone
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