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Questionnaire template

Retail Store Shopping Experience

Store customers rate their visit, staff help and product availability, with suggestions and basic demographics.

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Other · Satisfaction. All Other templates

Questions in this template

Your Visit

  1. Thank you for shopping with us. Please tell us about your recent visit; your answers are confidential and help us improve our stores.

  2. Overall, how satisfied were you with your visit to our store?

    Choose one:

    • 1 - Very dissatisfied
    • 2
    • 3
    • 4
    • 5 - Very satisfied

  3. How satisfied were you with each of the following?

    • Cleanliness of the store
    • Range of products
    • Checkout
    • Courtesy of staff

    For each row: choose one:

    • 1 - Very dissatisfied
    • 2
    • 3
    • 4
    • 5 - Very satisfied

Help from Our Staff

  1. Did a member of staff help you during your visit?

    Choose one:

    • Yes
    • No

  2. How would you rate the help you received?

    Condition: Only for shoppers who were helped by staff

    • Knowledge of the products
    • How clearly they communicated
    • Time you waited for help

    For each row: choose one:

    • Poor
    • Fair
    • Good
    • Very good
    • Excellent

  3. Is there anything you would like to add about the help you received?

    Condition: Only for shoppers who were helped by staff

    Open answer

Products

  1. Were you able to find what you came to buy?

    Choose one:

    • Yes, everything
    • Some of it
    • No

  2. What were you unable to find?

    Condition: Only when something could not be found

    Open answer

Suggestions

  1. What could we do to make shopping in our store better?

    Open answer

About You

  1. What is your gender?

    Choose one:

    • Female
    • Male
    • Non-binary
    • Prefer not to say

  2. Which age group are you in?

    Choose one from a list:

    • Under 18
    • 18-24
    • 25-34
    • 35-44
    • 45-54
    • 55-64
    • 65 or over